| NPI | 1770906950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA GORDIN Medical Director 718-382-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: 199895) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |