Organization
FIVE TOWNS GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY S FENSTER MD (AUTHORIZED REP/OWNER)
(516) 374-0670
Entity
Organization
Contact information
Practice address
657 CENTRAL AVE, SUITE 2, CEDARHURST, NY 11516-2320
(516) 374-0670
(516) 569-7140
Mailing address
657 CENTRAL AVE, SUITE 2, CEDARHURST, NY 11516-2320
(516) 374-0670
(516) 569-7140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
01/19/2017
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