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GASTROCARE LI PC NPI 1548350739


NPI Information

NPI: 1548350739
Provider Name: GASTROCARE, LI PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 33D0154290

Address:
210 E SUNRISE HWY
SUITE 304
VALLEY STREAM, NY
ZIP 11581
Phone: (516) 825-8484
Get Directions

GASTROCARE, LI PC is a gastroenterology internal medicine in Valley Stream, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROCARE, LI PC NPI is 1548350739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 E SUNRISE HWY
SUITE 304
VALLEY STREAM, NY
ZIP 11581-329
Phone: (516) 825-8484
Fax: (516) 825-8491

The provider's authorized official is Bradley S Rieders .
The authorized official title is M.d. and has the following contact phone number (516) 825-8484.

The CLIA number assigned to this NPI record is 33D0154290 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WX1001MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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