| Gastroenterolgy Of Eastern Long Island Llc | |
|
325 Meeting House Ln Bldg 2 Southampton NY 11968-5087 | |
| (631) 283-5555 | |
| (631) 283-0345 |
| Full Name | Gastroenterolgy Of Eastern Long Island Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 325 Meeting House Ln, Southampton, New York |
| Authorized Official Name and Position | Steve K Georgopoulos (OWNER) |
| Authorized Official Contact | 6312835555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterolgy Of Eastern Long Island Llc Po Box 5004 Southampton NY 11969-5004 Ph: (631) 283-5555 | Gastroenterolgy Of Eastern Long Island Llc 325 Meeting House Ln Bldg 2 Southampton NY 11968-5087 Ph: (631) 283-5555 |
| NPI Number | 1821284902 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821284902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 194726 (New York) | Primary |
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