# GASTROENTEROLOGY & NUTRITION, PC

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

## Provider details

- **NPI number:** 1427214949
- **Authorized official:** DR. SAMUEL DAVIDOFF MD (OFFICER)
- **Authorized official phone:** (718) 261-0900

## Contact information

- **Practice address:** 10816 72ND AVE, 2 FLOOR, FOREST HILLS, NY 11375-5653
- **Practice address phone:** (718) 261-0900
- **Practice address fax:** (718) 261-0944
- **Mailing address:** 10816 72ND AVE, 2 FLOOR, FOREST HILLS, NY 11375-5653
- **Mailing address phone:** (718) 261-0900
- **Mailing address fax:** (718) 261-0944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 229243 | NY | Yes |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 10/12/2012