Organization
THE GASTROENTEROLOGY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITANSHU SHAH (MD)
(516) 884-3032
Entity
Organization
Contact information
Practice address
75 WASHINGTON ST, HEMPSTEAD, NY 11550-4028
(516) 884-3032
Mailing address
6 PERRY CT, SYOSSET, NY 11791-2837
(516) 884-3032
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
10/24/2022
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