| NPI | 1699974881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY HERTAN Director 718-920-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 156652) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |