Organization
LONG ISLAND MEDICAL AND GASTROENTEROLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA S FAELLA (ADMINISTRATOR)
(516) 650-4604
Entity
Organization
Contact information
Practice address
192 E SHORE RD, GREAT NECK, NY 11023-2416
(516) 487-4500
(516) 487-7439
Mailing address
192 E SHORE RD, GREAT NECK, NY 11023-2416
(516) 487-4500
(516) 487-7439
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
03/19/2015
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