| NPI | 1649350315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABU S BANGARU Owner 718-592-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 128235) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-12-22 |