Organization
LONG ISLAND CENTER FOR DIGESTIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON M HOHLFELD (CO-TREASURER)
(215) 589-9024
Entity
Organization
Contact information
Practice address
106 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3632
(516) 794-1868
(516) 794-1627
Mailing address
2500 YORK RD STE 300, JAMISON, PA 18929-1098
(215) 589-9024
(833) 705-6301
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20404489
—
NY
01
—
33323
BCBS NON-PAR
NY
01
—
33D1049916
CLIA WAIVER
—
01
—
71395
AAAHC
—
Enumeration date
06/12/2006
Last updated
03/07/2023
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