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General NPI Number Information
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NPI Number | 1780792119
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Entity Type | Organization
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Legal Business Name | ATLANTIC GASTROENTEROLOGY, P.C.
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 2797 OCEAN PKWY 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-7861
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Country | US
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Telephone | 718-615-4001
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Fax | 718-615-4004
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Provider Business Mailing Address
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Address Line | 2797 OCEAN PKWY STE 1
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City | BROOKLYN
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State | NY
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Zip | 11235-7868
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Country | US
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Telephone | 718-615-4001
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Fax | 718-615-4004
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER SHAPSIS
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Credential | MD
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Telephone | 718-615-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 239090
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License Number State | NY
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