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NPI Code Detail

MEDICARE: ENDOSCOPY CENTER OF LONG ISLAND LLC

MEDICARE: ENDOSCOPY CENTER OF LONG ISLAND LLC
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
1261QE0800XEndoscopy Clinic/Center2905202RNY

General Provider Information

NPI Number : 1770718009
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDOSCOPY CENTER OF LONG ISLAND LLC
Provider Business Mailing Address
First Line : 711 STEWART AVE
Second Line : SUITE 114
City : GARDEN CITY
State : NY
Zip : 11530-4731
Country : US
Telephone Number : 516-227-3254
Fax Number : 516-998-4078
Provider Business Practice Location Address
First Line : 711 STEWART AVE
Second Line : SUITE 114
City : GARDEN CITY
State : NY
Zip : 11530-4731
Country : US
Telephone Number : 516-227-3254
Fax Number : 516-998-4078
Authorized Official
Title or Position : ADMINISTRATOR
Name : WARREN MORRIS
Credential :
Telephone Number : 516-227-3254
Provider Enumeration Date : 05/15/2009
Last Update Date : 05/15/2009

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Directions to “ENDOSCOPY CENTER OF LONG ISLAND LLC ” Practice Location

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