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 |