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Nslij Western Suffolk Gastroenterology
Medical Specialty Clinic/Center in Bay Shore, New York
NPI 1821410879

Nslij Western Suffolk Gastroenterology is a Medical Specialty Clinic/Center based in Bay Shore, NY and is specialized in Medical Specialty. Nslij Western Suffolk Gastroenterology practices in Bay Shore, NY. The NPI Number for Nslij Western Suffolk Gastroenterology is 1821410879 and holds a License No. 257505 (New York).

The current practice location address for Nslij Western Suffolk Gastroenterology is 375 E Main Street, Bay Shore, NY and can be reached out via phone at 631-968-8288.

Location: 375 E Main Street, Bay Shore, NY, 11706-8418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821410879
Provider Name
Nslij Western Suffolk Gastroenterology
Credential
Provider Entity Type
Organization
Address
375 E Main Street, Bay Shore, NY, 11706-8418
Phone Number
631-968-8288
Fax Number
Provider Enumeration Date
01/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
375 E Main Street
City
Bay Shore
State
New York
Zip
11706
Phone Number
631-968-8288
Fax Number
person
Provider Business Mailing Address Details
Address
375 E Main Street
City
Bay Shore
State
New York
Zip
11706
Phone Number
631-968-8288
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
257505 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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