| NPI | 1649535428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEV TAYTS Owner 718-655-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |