| NPI | 1871060707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDREW ELINSKY CEO/Administartor 917-359-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |