Organization · Type 2 NPI

Woodside Asc LLC

Gastroenterology Physician · Woodside, NY

NPI number 1629948385 Active

Practice location

69-28 Queens Boulevard
Woodside, NY 11377

Fax (718) 400-8515

Mailing address

531 Main St, Apt 715
New York, NY 10044

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100XNone listed

Gastroenterology Physician: 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.

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About NPI 1629948385

Woodside Asc LLC's National Provider Identifier is 1629948385, issued on Nov 7, 2025. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Woodside, NY. The record was last updated on Nov 7, 2025.