| Digestive Liver Disease Pc | |
|
5 Little Clove Road Staten Island NY 10301 | |
| (718) 876-9600 | |
| (718) 876-7773 |
| Full Name | Digestive Liver Disease Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5 Little Clove Road, Staten Island, New York |
| Authorized Official Name and Position | Divyang Parikh (OWNER) |
| Authorized Official Contact | 7188769600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Liver Disease Pc 5 Little Clove Road Staten Island NY 10301 Ph: (718) 876-9600 | Digestive Liver Disease Pc 5 Little Clove Road Staten Island NY 10301 Ph: (718) 876-9600 |
| NPI Number | 1669418364 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669418364 | NPI | - | NPPES |
| 0994990 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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