| NPI | 1891163937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHE-NAN CHUANG Owner 718-461-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2020-06-12 |