| NPI | 1841608601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY S FENSTER Authorized Rep/Owner 516-374-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2017-01-19 |