| NPI | 1912060229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY CHU Medical Billing Specialist 718-321-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 204609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 204609) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2017-03-17 |