Third Avenue Gastroenterology, P.c.

NPI #1164679395 in New York, New York

Provider Information

NPI Number
1164679395
Entity Type
Organization
Organization Name
Third Avenue Gastroenterology, P.c.
Primary Specialty
Clinic/Center - Endoscopy
Enumeration Date
Aug 19, 2008
Last Updated
Aug 19, 2008

Practice Location

Address
1317 3RD AVE
Address 2
9TH FLOOR
ZIP Code
10021-2995
Phone
(212) 794-0240

Authorized Official

Name
DR. PETER SUNGWON KIM, M.D.
Title
PRESIDENT
Phone
(212) 794-0240

Specialties & Taxonomy Codes

Specialty
Clinic/Center - EndoscopyEndoscopy

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