| NPI | 1720378318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG HO SUK President 718-461-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 151095) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |