Organization
EASTCHESTER GASTROENTEROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEJAT KIYICI M.D. (PRESIDENT)
(718) 684-6209
Entity
Organization
Contact information
Practice address
2426 EASTCHESTER RD, BRONX, NY 10469-5947
(718) 684-6209
(718) 684-6212
Mailing address
PO BOX 218, TUCKAHOE, NY 10707-0218
(718) 684-6209
(718) 684-6212
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
210969
NY
207RG0100X
Gastroenterology Physician
221502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02194838
—
NY
05
—
02242551
—
NY
Enumeration date
12/18/2007
Last updated
12/18/2007
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