# THE GASTROENTEROLOGY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1083178651
- **Authorized official:** MITANSHU SHAH (MD)
- **Authorized official phone:** (516) 884-3032

## Contact information

- **Practice address:** 75 WASHINGTON ST, HEMPSTEAD, NY 11550-4028
- **Practice address phone:** (516) 884-3032
- **Mailing address:** 6 PERRY CT, SYOSSET, NY 11791-2837
- **Mailing address phone:** (516) 884-3032

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2019
- **Last updated:** 10/24/2022