| NPI | 1801061031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEELAVATHI KASTURI Physician 718-896-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 182286) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |