Smithtown Asc, LLC

NPI #1184505299 in Nesconset, New York

Provider Information

NPI Number: 1184505299
Entity Type: Organization
Organization Name: Smithtown Asc, LLC
Primary Specialty: Internal Medicine - Gastroenterology
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 61 SOUTHERN BLVD STE 1-4
City: Nesconset
State: New York
ZIP Code: 11767-1089
Phone: (267) 455-4855

Authorized Official

Name: BILLY INGRAM
Title: MEMBER
Phone: (267) 455-4855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X	Primary

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