MANHATTAN INTEGRATIVE GASTROENTEROLOGY


Address: 550 Vanderbilt Ave Apt 803, Brooklyn, NY 11238
Phone: 9178259237

MANHATTAN INTEGRATIVE GASTROENTEROLOGY (NPI# 1083194351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083194351
Entity Type Organization
Organization Name MANHATTAN INTEGRATIVE GASTROENTEROLOGY
Practice Address 550 Vanderbilt Ave Apt 803
Brooklyn
NY 11238
Mailing Address 928 Broadway Ste 400
New York
NY 10010-8149
Practice Telephone 9178259237
Mailing Telephone 2126344233
Enumeration Date 2018-08-16
Last Update Date 2018-08-17
Authorized Official Name DR. ALEXANDRA SHUSTINA (CEO)
Authorized Official Telephone 2126344233
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
255074 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
928 Broadway Ste 400, New York, NY 100108149 2126344233

Office Location

Street Address 550 VANDERBILT AVE APT 803
City BROOKLYN
State NY
Zip Code 11238

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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1194287235 Ng Medical Brooklyn Pllc Internal Medicine 943 60th St # C1, Brooklyn, NY 11219-4871 2019-04-05
1861977142 Birch Medical Pllc Internal Medicine 60 Oceana Dr W Apt 10d, Brooklyn, NY 11235-6664 2018-10-02
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1871017905 Seabreeze Endoscopy Inc Internal Medicine 40 W Brighton Ave Ste 104, Brooklyn, NY 11224-4901 2017-07-31
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1669844460 Guthealth Medical P C Internal Medicine 297 Adelphi St, Brooklyn, NY 11205-4602 2015-10-20
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City BROOKLYN
Zip Code 11238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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