| NPI | 1861658908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MITCHEL TENNER Medical Director 718-368-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-10-07 |