NSLIJ WESTERN SUFFOLK GASTROENTEROLOGY


Address: 375 E Main Street, Suite 21, Bay Shore, NY 11706
Phone: 6319688288

NSLIJ WESTERN SUFFOLK GASTROENTEROLOGY (NPI# 1821410879) 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) 1821410879
Entity Type Organization
Organization Name NSLIJ WESTERN SUFFOLK GASTROENTEROLOGY
Practice Address 375 E Main Street
Suite 21
Bay Shore
NY 11706
Mailing Address 375 E Main St
Suite 21
Bay Shore
NY 11706-8418
Practice Telephone 6319688288
Enumeration Date 2014-01-10
Last Update Date 2014-01-10
Authorized Official Name STUART AKERMAN (MD)
Authorized Official Telephone 6319688288
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
257505 NY Ambulatory Health Care Facilities

Office Location

Street Address 375 E MAIN STREET
SUITE 21
City BAY SHORE
State NY
Zip Code 11706

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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Competitor

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City BAY SHORE
Zip Code 11706

Improve Information

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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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