Organization
GASTROCARE, LI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY S RIEDERS M.D. (M.D.)
(516) 825-8484
Entity
Organization
Contact information
Practice address
210 E SUNRISE HWY, SUITE 304, VALLEY STREAM, NY 11581-1329
(516) 825-8484
(516) 825-8491
Mailing address
210 E SUNRISE HWY, SUITE 304, VALLEY STREAM, NY 11581-1329
(516) 825-8484
(516) 825-8491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
04/23/2010
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