Organization
GREATER NEW YORK GASTROENTEROLOGY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KENNETH KLINGENSTEIN MD (OFFICER)
(718) 626-2337
Entity
Organization
Contact information
Practice address
2325 31ST ST STE 500, ASTORIA, NY 11105-2299
(718) 626-2337
(718) 626-7655
Mailing address
2325 31ST ST STE 500, ASTORIA, NY 11105-2299
(718) 626-2337
(718) 626-7655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
134287
NY
207R00000X
Internal Medicine Physician
183504
NY
207R00000X
Internal Medicine Physician
208960
NY
207RG0100X
Gastroenterology Physician
Primary
134287
NY
207RG0100X
Gastroenterology Physician
183504
NY
207RG0100X
Gastroenterology Physician
208960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00617905
—
NY
05
—
01366985
—
NY
05
—
02167173
—
NY
Enumeration date
07/27/2006
Last updated
08/26/2019
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