Triborough Gastroenterology PC

NPI #1548705817 in Woodside, New York

Provider Information

NPI Number
1548705817
Entity Type
Organization
Organization Name
Triborough Gastroenterology PC
Primary Specialty
Specialist
Enumeration Date
Dec 22, 2016
Last Updated
Dec 22, 2016

Practice Location

Address
5314 ROOSEVELT AVE
ZIP Code
11377-4239
Phone
(212) 655-7312

Authorized Official

Name
DR. LAWRENCE JOHN OTTAVIANO, MD
Title
OWNER
Phone
(212) 655-7310

Specialties & Taxonomy Codes

Specialty
Specialist

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