Izquierdo-gastroenterology, Pc

NPI 1255576310 - Clinic/Center - 261QE0800X

NPI Details
NPI 1255576310
Enumeration Date 12/03/2008
Last Updated 12/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THOMAS JOEL THOMAS
Position MEDICAL OFFICEFR
Phone (718) 779-7697
Fax (718) 457-2402
Practice Location
3757 91ST ST
JACKSON HEIGHTS NY, 11372-7901, US
Phone (718) 779-7697
Fax (718) 457-2402
Business Location
3757 91ST ST
JACKSON HEIGHTS NY, 11372-7901, US
Phone (718) 779-7697
Fax (718) 457-2402
Toxanomy
Taxonomy Code 261QE0800X
License State New York
License Number 156124
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According to our database, Izquierdo-gastroenterology, Pc NPI is 1255576310, taxonomy code is 261QE0800X and license number is 156124, license state is located at New York. Izquierdo-gastroenterology, Pc physically located at 3757 91st St, Jackson Heights NY, 11372-7901. NPI Number 1033115704 has the healthcare provider type.

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1255576310 NPI number is provided on an as is basis without warranty of any kind. 1255576310 is maintained by the National Plan & Provider Enumeration System. The contents of Izquierdo-gastroenterology, Pc are for informational purposes only.