Advanced Gastroenterology Practice Pllc

NPI 1184921728 - Internal Medicine - 207RG0100X

NPI Details
NPI 1184921728
Enumeration Date 02/17/2011
Last Updated 01/19/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TIMOTHY TIMOTHY
Position OWNER
Phone (212) 775-8388
Fax (212) 775-8383
Practice Location
86 BOWERY
7TH FLOOR
NEW YORK NY, 10013-4615, US
Phone (212) 775-8388
Fax (212) 775-8383
Business Location
86 BOWERY
7TH FLOOR
NEW YORK NY, 10013-4615, US
Phone (212) 775-8388
Fax (212) 775-8383
Toxanomy
Taxonomy Code 207RG0100X
License State New York
License Number 223587
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According to our database, Advanced Gastroenterology Practice Pllc NPI is 1184921728, taxonomy code is 207RG0100X and license number is 223587, license state is located at New York. Advanced Gastroenterology Practice Pllc physically located at 86 Bowery, New York NY, 10013-4615. NPI Number 1033115704 has the healthcare provider type.

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1184921728 NPI number is provided on an as is basis without warranty of any kind. 1184921728 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Gastroenterology Practice Pllc are for informational purposes only.