# MANHATTAN INTEGRATIVE GASTROENTEROLOGY

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

## Provider details

- **NPI number:** 1083194351
- **Authorized official:** DR. ALEXANDRA SHUSTINA DO (CEO)
- **Authorized official phone:** (212) 634-4233

## Contact information

- **Practice address:** 550 VANDERBILT AVE APT 803, BROOKLYN, NY 11238
- **Practice address phone:** (917) 825-9237
- **Mailing address:** 928 BROADWAY STE 400, NEW YORK, NY 10010-8149
- **Mailing address phone:** (212) 634-4233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 255074 | NY | Yes |

## Other

- **Enumeration date:** 08/16/2018
- **Last updated:** 08/17/2018