Organization
GASTROENTEROLOGY CARE OF LI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD STARK M.D. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
94 GARDINERS AVE, #334, LEVITTOWN, NY 11756-3705
(631) 271-9151
(631) 271-9155
Mailing address
94 GARDINERS AVE, #334, LEVITTOWN, NY 11756-3705
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
135237-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135237-1
LICENSE
NY
Enumeration date
06/23/2014
Last updated
06/23/2014
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