| NPI | 1912334103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURNA CHANDRA PRASAD ATLURI Owner 718-237-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: NY 189588) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |