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Organization
GASTROENTEROLGY OF EASTERN LONG ISLAND LLC
Active
Organization
GASTROENTEROLGY OF EASTERN LONG ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE K GEORGOPOULOS M.D. (OWNER)
(631) 283-5555
Entity
Organization
Contact information
Practice address
325 MEETING HOUSE LN, BLDG 2, SOUTHAMPTON, NY 11968-5087
(631) 283-5555
(631) 283-0345
Mailing address
PO BOX 5004, SOUTHAMPTON, NY 11969-5004
(631) 283-5555
(631) 283-0345
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
194726
NY
Other
Enumeration date
09/21/2007
Last updated
11/23/2011
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