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MASSAPEQUA GASTROENTEROLOGY ASSOC LLC NPI 1568451243


NPI Information

NPI: 1568451243
Provider Name: MASSAPEQUA GASTROENTEROLOGY ASSOC LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 33D0158094

Address:
850 HICKSVILLE RD
SUITE #100
SEAFORD, NY
ZIP 11783
Phone: (516) 796-9000
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MASSAPEQUA GASTROENTEROLOGY ASSOC LLC is a gastroenterology internal medicine in Seaford, 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. MASSAPEQUA GASTROENTEROLOGY ASSOC LLC NPI is 1568451243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

850 HICKSVILLE RD
SUITE #100
SEAFORD, NY
ZIP 11783
Phone: (516) 796-9000
Fax: (516) 796-6360

The provider's authorized official is Janice A Herron .
The authorized official title is Office Mgr and has the following contact phone number (516) 796-9000.

The CLIA number assigned to this NPI record is 33D0158094 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 8/22/2020.


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

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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