is a Gastroenterology in Forest Hills, New York. practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for is 1285843755. The last update date is .
's current location address is 11045 Queens Blvd, Forest Hills, New York. You can contact this provider via phone number 7185200600 and fax number 7182616852. The mailing address for is 11045 Queens Blvd, Forest Hills, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11045 Queens Blvd, Forest Hills, New York |
| Phone Number | 7185200600 |
| Fax Number | 7182616852 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285843755 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11045 Queens Blvd |
|---|---|
| City | Forest Hills |
| State | New York (NY) |
| Post Code | 113755501 |
| Phone Number | 7185200600 |
| Fax Number | 7182616852 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 147739 |
|
Definition: 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 perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00083223 | NY | MC RR | |
| 973620 | NY | -- |
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