# QUEENS- NASSAU GASTROENTEROLOGY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** queens- nassau gastroenterology p.c.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548389737
- **Authorized official:** DR. SANFORD GOLDBERG M.D. (PRESIDENT)
- **Authorized official phone:** (516) 358-9007

## Contact information

- **Practice address:** 2001 MARCUS AVE, SUITE W260, NEW HYDE PARK, NY 11042-1011
- **Practice address phone:** (516) 358-9007
- **Practice address fax:** (516) 358-9011
- **Mailing address:** 2001 MARCUS AVE, SUITE W260, NEW HYDE PARK, NY 11042-1011
- **Mailing address phone:** (516) 358-9007
- **Mailing address fax:** (516) 358-9011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 139570 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 12/22/2010