Izquierdo-Gastroenterology, PC
Clinic/Center, Endoscopy in Jackson Heights, NY. Organization (NPI-2).
NPI number1255576310
StatusActive
Last updated in NPPESDec 3, 2008
Details
- NPI
- 1255576310
- Entity type
- Organization (NPI-2)
- Legal business name
- Izquierdo-Gastroenterology, PC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2008
- Last updated
- Dec 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | 156124 | NY | Yes |
Practice location
3757 91st StJackson Heights, NY 11372-7901
Phone 718-779-7697 · Fax 718-457-2402
Mailing address
3757 91st StJackson Heights, NY 11372-7901
Phone 718-779-7697 · Fax 718-457-2402
Authorized official
Thomas Joel Izquierdo
Medical Officefr
7187797697
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