| NPI | 1629313945 |
|---|---|
| Other Name | GI |
| Entity Type | Organization |
| Authorized Contact | VICTOR DEMARCO Svr/CFO 718-901-8600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2020-02-06 |