| NPI | 1679039267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX TANG Owner 917-536-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |