# KAUSHIK GASTROENTEROLOGY PC

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

## Provider details

- **NPI number:** 1477049476
- **Authorized official:** NEERAJ KAUSHIK MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (516) 590-3700

## Contact information

- **Practice address:** 2200 NORTHERN BLVD STE 212, GREENVALE, NY 11548-1220
- **Practice address phone:** (516) 590-3700
- **Practice address fax:** (516) 636-5011
- **Mailing address:** PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
- **Mailing address phone:** (631) 264-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 07/03/2018
- **Last updated:** 07/02/2021