| NPI | 1629362330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ANTHONY DIAZ President 516-233-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 213794) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2013-02-15 |