Massapequa Gastroenterology Assoc LLC

NPI #1568451243 in Seaford, New York

Provider Information

NPI Number
1568451243
Entity Type
Organization
Organization Name
Massapequa Gastroenterology Assoc LLC
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Oct 17, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
850 HICKSVILLE RD
Address 2
SUITE #100
ZIP Code
11783
Phone
(516) 796-9000

Authorized Official

Name
JANICE A HERRON
Title
OFFICE MGR
Phone
(516) 796-9000

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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