| NPI | 1912316209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANU SAMPAT Owner 718-227-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 2016391) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2017-04-13 |