| NPI | 1841776952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B STAMBLER President 631-438-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 135486) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 135486) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2019-07-25 |