# GASTROENTROLOGY SERVICES OLM

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

## Provider details

- **NPI number:** 1699974881
- **Authorized official:** DR. HILLARY HERTAN M.D. (DIRECTOR)
- **Authorized official phone:** (718) 920-9070

## Contact information

- **Practice address:** 600 E 233RD ST, BRONX, NY 10466-2604
- **Practice address phone:** (718) 920-9070
- **Mailing address:** 158 W 27TH ST, 11TH FLOOR SOUTH, NEW YORK, NY 10001-6216
- **Mailing address phone:** (212) 563-2627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 156652 | NY | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 07/17/2007