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Organization
LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC
Active
Organization
LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ELISABETH ESPERANCE (CEO)
(631) 828-3400
Entity
Organization
Contact information
Practice address
1500 ROUTE 112, BLDG 5, PORT JEFFERSON STATION, NY 11776-8054
(631) 828-3400
(631) 828-3244
Mailing address
1500 ROUTE 112 BLDG 5, PORT JEFFERSON STATION, NY 11776-8055
(631) 828-3400
(631) 828-3244
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/14/2014
Last updated
10/29/2025
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