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Organization
LONG ISLAND GASTRO AND HEPATOLOGY, CORP.
Active
Organization
LONG ISLAND GASTRO AND HEPATOLOGY, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABRAS AHMED DO (OWNER)
(631) 346-3633
Entity
Organization
Contact information
Practice address
649 HORSEBLOCK RD, FARMINGVILLE, NY 11738-1235
(631) 346-3633
(631) 320-3054
Mailing address
649 HORSEBLOCK RD, FARMINGVILLE, NY 11738-1235
(631) 346-3633
(631) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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