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Long Island Gastroenterology Group P C

Internal Medicine, Gastroenterology in Merrick, NY. Organization (NPI-2).

NPI number1194768366
StatusActive
Last updated in NPPESSep 18, 2013

Details

NPI
1194768366
Entity type
Organization (NPI-2)
Legal business name
Long Island Gastroenterology Group P C
Organization subpart
No
Enumeration date
Jun 14, 2006
Last updated
Sep 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology129485NYYes
207L00000X Anesthesiology241064NY

Practice location

131 Merrick Rd
Merrick, NY 11566-4542

Phone 516-223-1515 · Fax 516-223-8205

Mailing address

131 Merrick Rd
Merrick, NY 11566-4542

Phone 516-223-1515 · Fax 516-223-8205

Authorized official

Richard Steller
Owner
5162231515

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