| NPI | 1619308038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMANUEL LEONIDAS KOUROUPOS Md 718-204-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: NY 155527) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |