| NPI | 1679897631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EVANOV President 516-352-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 124049) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-10-07 |