# LONG ISLAND GASTROENTEROLOGY GROUP P C

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

## Provider details

- **NPI number:** 1194768366
- **Authorized official:** RICHARD STELLER MD (OWNER)
- **Authorized official phone:** (516) 223-1515

## Contact information

- **Practice address:** 131 MERRICK RD, MERRICK, NY 11566-4542
- **Practice address phone:** (516) 223-1515
- **Practice address fax:** (516) 223-8205
- **Mailing address:** 131 MERRICK RD, MERRICK, NY 11566-4542
- **Mailing address phone:** (516) 223-1515
- **Mailing address fax:** (516) 223-8205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 241064 | NY | — |
| 207RG0100X | Gastroenterology Physician | 129485 | NY | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 09/18/2013