ADVANCED GASTROENTEROLOGY PRACTICE PLLC NPI 1184921728

NPI Information

  • NPI: 1184921728
  • Provider Name: ADVANCED GASTROENTEROLOGY PRACTICE PLLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 77 BOWERY
    #701
    NEW YORK, NY
    ZIP 10002
  • Phone: (212) 775-8388

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NPI Details

ADVANCED GASTROENTEROLOGY PRACTICE PLLC is a gastroenterology internal medicine in New York, 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. ADVANCED GASTROENTEROLOGY PRACTICE PLLC NPI is 1184921728. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

77 BOWERY
#701
NEW YORK, NY
ZIP 10002-915
Phone: (212) 775-8388
Fax: (212) 775-8383

The provider's authorized official is Timothy Wong .
The authorized official title is Owner and has the following contact phone number (917) 535-7908.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 3/15/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology223587NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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