# FIVE BOROUGH GASTROENTEROLOGY MEDICAL PLLC

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

## Provider details

- **NPI number:** 1811455801
- **Authorized official:** DR. CHARLES OLINER MD (GASTROENTEROLOGIST)
- **Authorized official phone:** (516) 902-7501

## Contact information

- **Practice address:** 340 W 86TH ST APT 1A, NEW YORK, NY 10024-3274
- **Practice address phone:** (516) 902-7501
- **Mailing address:** 340 W 86TH ST APT 1A, NEW YORK, NY 10024-3274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2019
- **Last updated:** 03/08/2019