# NEW YORK MEDICINE GASTROENTEROLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Gastroenterology Practice in Levittown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164245080
- **Authorized official:** MITANSHU SHAH MD (OWNER)
- **Authorized official phone:** (516) 884-3032

## Contact information

- **Practice address:** 2900 HEMPSTEAD TPKE STE 203, LEVITTOWN, NY 11756-1401
- **Practice address phone:** (917) 238-8415
- **Mailing address:** 2900 HEMPSTEAD TPKE STE 203, LEVITTOWN, NY 11756-1401

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2024
- **Last updated:** 11/07/2024