Organization
MASSAPEQUA GASTROENTEROLOGY ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE A HERRON (OFFICE MGR)
(516) 796-9000
Entity
Organization
Contact information
Practice address
850 HICKSVILLE RD, SUITE #100, SEAFORD, NY 11783
(516) 796-9000
(516) 796-6360
Mailing address
850 HICKSVILLE RD, SUITE #100, SEAFORD, NY 11783
(516) 796-9000
(516) 796-6360
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/17/2005
Last updated
08/22/2020
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