Organization · Type 2 NPI

Port Washington Gastroenterology, PC

Specialist · New Hyde Park, NY

NPI number 1134401474 Active

Practice location

2001 Marcus Ave, Suite N204
New Hyde Park, NY 11042-2061

Fax (516) 684-9918

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X198682 (NY)

Specialist: 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.

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About NPI 1134401474

Port Washington Gastroenterology, PC's National Provider Identifier is 1134401474, issued on Sep 13, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 26, 2012.