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Organization

ISLAND GASTROENTEROLOGY CONSULTANTS PC

Active
Other names
Island Pathology Laboratory
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJKUMAR G MARIWALLA MD (OWNER)
(631) 669-1171
Entity
Organization

Contact information

Practice address
631 MONTAUK HWY, WEST ISLIP, NY 11795-4400
(631) 806-5600
Mailing address
1111 MONTAUK HWY, WEST ISLIP, NY 11795-4910
(631) 669-1171

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/20/2024
Last updated
11/20/2024
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