| NPI | 1780792119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLYA AYZENSHTAT Billing & Credentialing Manager 347-409-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 239090) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2024-08-20 |