| NPI | 1841562758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINCOLN HERNANDEZ Owner 212-795-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 170703) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2018-07-31 |