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General NPI Number Information
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NPI Number | 1023285301
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Entity Type | Organization
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Legal Business Name | PARK AVENUE GASTROENTEROLOGY & DIGESTIVE HEALTH, PLLC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 755 PARK AVE SUITE 200
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City | HUNTINGTON
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State | NY
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Zip | 11743-3975
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Country | US
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Telephone | 631-683-4235
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Fax |
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Provider Business Mailing Address
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Address Line | 755 PARK AVE SUITE 200
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City | HUNTINGTON
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State | NY
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Zip | 11743-3975
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. IMRAN ZAFFER
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Credential | MD
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Telephone | 631-683-4235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 244910
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License Number State | NY
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