| NPI | 1942465521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANJANA D MEHTA Patner 631-878-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 198176) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 170734) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 197342) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2013-05-10 |