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Organization
GASTROENTEROLOGY & LIVER DISEASE, PC
Active
Organization
GASTROENTEROLOGY & LIVER DISEASE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT SHALOMOV M.D (PRESIDENT)
(718) 520-0857
Entity
Organization
Contact information
Practice address
10721 QUEENS BLVD, SUITE 4, FOREST HILLS, NY 11375-4413
(718) 520-0857
(718) 520-9099
Mailing address
10721 QUEENS BLVD, SUITE 4, FOREST HILLS, NY 11375-4413
(718) 520-0857
(718) 520-9099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
244590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02914441
—
NY
Enumeration date
02/01/2013
Last updated
03/12/2013
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