# DIGESTIVE DISEASES & NUTRITION LLC

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

## Provider details

- **NPI number:** 1225208564
- **Authorized official:** ROM M GUPTA MD (OWNER)
- **Authorized official phone:** (516) 330-6615

## Contact information

- **Practice address:** 175 61 HILLSIDE AVE, STE 402, JAMAICA ESTATES, NY 11432-5796
- **Practice address phone:** (718) 291-0488
- **Practice address fax:** (718) 291-0888
- **Mailing address:** 175 61 HILLSIDE AVE, STE 402, JAMAICA ESTATES, NY 11432-5796
- **Mailing address phone:** (516) 330-6615
- **Mailing address fax:** (718) 291-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 189770 | NY | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 11/05/2020