Organization
MANHATTAN INTEGRATIVE GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA SHUSTINA DO (CEO)
(212) 634-4233
Entity
Organization
Contact information
Practice address
550 VANDERBILT AVE APT 803, BROOKLYN, NY 11238
(917) 825-9237
Mailing address
928 BROADWAY STE 400, NEW YORK, NY 10010-8149
(212) 634-4233
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
255074
NY
Other
Enumeration date
08/16/2018
Last updated
08/17/2018
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