Organization
IZQUIERDO-GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOEL IZQUIERDO MD (MEDICAL OFFICEFR)
(718) 779-7697
Entity
Organization
Contact information
Practice address
3757 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 779-7697
(718) 457-2402
Mailing address
3757 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 779-7697
(718) 457-2402
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
156124
NY
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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