EAST SIDE GASTROENTEROLOGY P.C. NPI 1295958841

NPI Information

EAST SIDE GASTROENTEROLOGY, P.C. is a specialist in New York, 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. EAST SIDE GASTROENTEROLOGY, P.C. NPI is 1295958841. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 E 80TH ST
1C
NEW YORK, NY
ZIP 10021-334
Phone: (212) 734-5533
Fax: (212) 717-1688

The provider's authorized official is Shanta Liverman .
The authorized official title is Assistant and has the following contact phone number (212) 734-5533.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.

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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