# LONG ISLAND GASTRO AND HEPATOLOGY, CORP.

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

## Provider details

- **NPI number:** 1154035442
- **Authorized official:** NABRAS AHMED DO (OWNER)
- **Authorized official phone:** (631) 346-3633

## Contact information

- **Practice address:** 649 HORSEBLOCK RD, FARMINGVILLE, NY 11738-1235
- **Practice address phone:** (631) 346-3633
- **Practice address fax:** (631) 320-3054
- **Mailing address:** 649 HORSEBLOCK RD, FARMINGVILLE, NY 11738-1235
- **Mailing address phone:** (631) 346-3633
- **Mailing address fax:** (631) 320-3054

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2023
- **Last updated:** 01/11/2023