| NPI | 1962752527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOSTAS SIDERIDIS Owner 516-584-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 220299) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-05-14 |