| NPI | 1659539781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE E DY-GUILLAUME President 718-779-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 201321) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 210261) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-11-04 |