ISLAND GASTROENTEROLOGY CONSULTANTS PC NPI 1174556963

NPI Information

ISLAND GASTROENTEROLOGY CONSULTANTS PC is a specialist in West Islip, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ISLAND GASTROENTEROLOGY CONSULTANTS PC NPI is 1174556963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 MONTAUK HWY
3RD FLOOR
WEST ISLIP, NY
ZIP 11795-910
Phone: (631) 669-1171
Fax: (631) 669-1912

The provider's authorized official is Raj Mariwalla .
The authorized official title is Gastroenterologist and has the following contact phone number (631) 669-1171.

The CLIA number assigned to this NPI record is 33D2167519 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 1/25/2016.

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:

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