# LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1235551052
- **Authorized official:** NINA ELISABETH ESPERANCE (CEO)
- **Authorized official phone:** (631) 828-3400

## Contact information

- **Practice address:** 1500 ROUTE 112, BLDG 5, PORT JEFFERSON STATION, NY 11776-8054
- **Practice address phone:** (631) 828-3400
- **Practice address fax:** (631) 828-3244
- **Mailing address:** 1500 ROUTE 112 BLDG 5, PORT JEFFERSON STATION, NY 11776-8055
- **Mailing address phone:** (631) 828-3400
- **Mailing address fax:** (631) 828-3244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 10/29/2025