Organization
GASTROENTEROLOGY ASSOCIATES OF SUFFOLK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GONZALEZ (OFFICE MANAGER)
(631) 331-7200
Entity
Organization
Contact information
Practice address
931 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1228
(631) 331-7200
(631) 331-8636
Mailing address
931 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1228
(631) 331-7200
(631) 331-8636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
01/28/2026
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