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Organization
ST. NICHOLAS GASTROENTEROLOGY P C
Active
Organization
ST. NICHOLAS GASTROENTEROLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASHPAL ARYA M.D. (PRESIDENT)
(718) 821-0643
Entity
Organization
Contact information
Practice address
129 ST. NICHOLAS AVE, BROOKLYN, NY 11237
(718) 821-0643
(718) 628-4123
Mailing address
129 ST. NICHOLAS AVE, BROOKLYN, NY 11237
(718) 821-0643
(718) 628-4123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00210779
—
NY
05
—
02743451
—
NY
Enumeration date
02/28/2007
Last updated
08/22/2020
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