| NPI | 1609250869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL JOSE CHARLES President 718-444-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 196901) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-09-21 |