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NPI Code Detail

MEDICARE: GASTROINTESTINAL ASSOCIATES OF LONG ISLAND, LLP

MEDICARE: GASTROINTESTINAL ASSOCIATES OF LONG ISLAND, LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician

General Provider Information

NPI Number : 1275500159
Entity Type Code : Organization
Provider Name (Legal Business Name) : GASTROINTESTINAL ASSOCIATES OF LONG ISLAND, LLP
Provider Business Mailing Address
First Line : 1991 MARCUS AVE
Second Line : SUITE 101
City : NEW HYDE PARK
State : NY
Zip : 11042-2058
Country : US
Telephone Number : 516-365-4949
Fax Number : 516-365-5462
Provider Business Practice Location Address
First Line : 1991 MARCUS AVE
Second Line : SUITE 101
City : NEW HYDE PARK
State : NY
Zip : 11042-2058
Country : US
Telephone Number : 516-365-4949
Fax Number : 516-365-5462
Authorized Official
Title or Position : MANAGING PARTNER
Name : ANTHONY CELIFARCO
Credential : M.D.
Telephone Number : 516-365-4949
Provider Enumeration Date : 03/01/2006
Last Update Date : 04/17/2012

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1991 MARCUS AVE , SUITE 101
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1982607081 — JOSEPH TRIPODI D.O.
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Practice Fax: 516-365-5462
1205839305 — DR. ANTHONY CELIFARCO M.D.
Practice Location Address:
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NEW HYDE PARK, NY
11042-2058
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Practice Fax: 516-365-5462
1053316505 — EUGENE S BONAPACE JR. M.D.
Practice Location Address:
1991 MARCUS AVE , SUITE 101
NEW HYDE PARK, NY
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1003816786 — CARYLANN HADJIYANE M.D.
Practice Location Address:
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Practice Fax: 516-365-5462

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