| NPI | 1942792205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHULAMULLAH SHAHZAD Md 516-784-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 261QE0800X Clinic/Center, Endoscopy | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2022-08-31 |