# DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK, LLC

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

## Provider details

- **NPI number:** 1053505511
- **Authorized official:** ALEXANDRA THOMAS RN BSN (ADMINISTRATOR)
- **Authorized official phone:** (315) 410-7400

## Contact information

- **Practice address:** 5112 W TAFT RD, SUITE E, LIVERPOOL, NY 13088-4868
- **Practice address phone:** (315) 410-7400
- **Practice address fax:** (315) 458-4183
- **Mailing address:** 5112 W TAFT RD STE E, LIVERPOOL, NY 13088-4873
- **Mailing address phone:** (315) 410-7400
- **Mailing address fax:** (315) 458-4183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 07/02/2026