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Organization
LI GASTROENTEROLOGY ENDOSCOPY PC
Active
Organization
LI GASTROENTEROLOGY ENDOSCOPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEERAJ KAUSHIK MD (PHYSICIAN/OWNER)
(516) 636-5010
Entity
Organization
Contact information
Practice address
2200 NORTHERN BLVD STE 212, GREENVALE, NY 11548-1220
(516) 636-5010
(516) 636-5011
Mailing address
10 CHAUNCEY PL, WOODBURY, NY 11797-1233
(516) 417-3854
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
11/07/2023
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