# LONG ISLAND MEDICAL AND GASTROENTEROLOGY ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023134384
- **Authorized official:** MICHAELA S FAELLA (ADMINISTRATOR)
- **Authorized official phone:** (516) 650-4604

## Contact information

- **Practice address:** 192 E SHORE RD, GREAT NECK, NY 11023-2416
- **Practice address phone:** (516) 487-4500
- **Practice address fax:** (516) 487-7439
- **Mailing address:** 192 E SHORE RD, GREAT NECK, NY 11023-2416
- **Mailing address phone:** (516) 487-4500
- **Mailing address fax:** (516) 487-7439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 03/19/2015