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Organization
NEW YORK MEDICINE GASTROENTEROLOGY PLLC
Active
Organization
NEW YORK MEDICINE GASTROENTEROLOGY PLLC
Active
Other names
The Gastroenterology Practice in Levittown
Organization subpart
No
Provider details
NPI number
Authorized official
MITANSHU SHAH MD (OWNER)
(516) 884-3032
Entity
Organization
Contact information
Practice address
2900 HEMPSTEAD TPKE STE 203, LEVITTOWN, NY 11756-1401
(917) 238-8415
Mailing address
2900 HEMPSTEAD TPKE STE 203, LEVITTOWN, NY 11756-1401
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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