# GASTROENTEROLGY OF EASTERN LONG ISLAND LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1821284902
- **Authorized official:** STEVE K GEORGOPOULOS M.D. (OWNER)
- **Authorized official phone:** (631) 283-5555

## Contact information

- **Practice address:** 325 MEETING HOUSE LN, BLDG 2, SOUTHAMPTON, NY 11968-5087
- **Practice address phone:** (631) 283-5555
- **Practice address fax:** (631) 283-0345
- **Mailing address:** PO BOX 5004, SOUTHAMPTON, NY 11969-5004
- **Mailing address phone:** (631) 283-5555
- **Mailing address fax:** (631) 283-0345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 194726 | NY | Yes |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 11/23/2011