| NPI | 1912075250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GRETZ Owner 518-324-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 220526) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-03-12 |