# SOUTH ISLAND GASTROENTEROLOGY ASSOCIATES PC

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

## Provider details

- **NPI number:** 1043628282
- **Authorized official:** DR. STEVEN L KADISH MD (PHYSICIAN / OWNER - INCORPORATOR)
- **Authorized official phone:** (516) 984-6472

## Contact information

- **Practice address:** 141 WASHINGTON AVE, LAWRENCE, NY 11559-1669
- **Practice address phone:** (516) 650-4604
- **Practice address fax:** (800) 557-3140
- **Mailing address:** 743 BRYANT ST, WOODMERE, NY 11598-2904
- **Mailing address phone:** (516) 650-4604
- **Mailing address fax:** (800) 557-3140

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014