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LONG ISLAND COLLEGE HOSPITAL NPI 1003863820


NPI Information

NPI: 1003863820
Provider Name: LONG ISLAND COLLEGE HOSPITAL

Doing Business As: MEDICINE SPECIALTY GROUP AT LICH

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
97 AMITY ST
BROOKLYN, NY
ZIP 11201
Phone: (718) 780-2155
Get Directions

LONG ISLAND COLLEGE HOSPITAL is a gastroenterology internal medicine in Brooklyn, 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. LONG ISLAND COLLEGE HOSPITAL NPI is 1003863820. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medicine Specialty Group At Lich.

The provider's business location address is:

97 AMITY ST
BROOKLYN, NY
ZIP 11201-004
Phone: (718) 780-2155

The provider's authorized official is Vladimir Privman .
The authorized official title is Managing Employee and has the following contact phone number (718) 780-2155.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 11/3/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102420102MEDICAIDNEW YORK
2WEN051MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

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