| NPI | 1679500508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALA MURTHY BALAKUMAR President/Director 516-801-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 193074) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |