Organization · Type 2 NPI

Long Island Digestive Endoscopy Center, LLC

Ambulatory Surgical Clinic/Center · Port Jefferson Station, NY

NPI number 1235551052 Active

Practice location

1500 Route 112, Bldg 5
Port Jefferson Station, NY 11776-8054

Call (631) 828-3400 Map

Fax (631) 828-3244

Mailing address

1500 Route 112 Bldg 5
Port Jefferson Station, NY 11776-8055

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1235551052

Long Island Digestive Endoscopy Center, LLC's National Provider Identifier is 1235551052, issued on Jan 14, 2014. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 29, 2025.