IZQUIERDO-GASTROENTEROLOGY, PC; NPI #1255576310

Contact Information

IZQUIERDO-GASTROENTEROLOGY, PC

3757 91ST ST
JACKSON HEIGHTS, NY 11372-7901

Phone: 718-779-7697
Fax: 718-457-2402
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for IZQUIERDO-GASTROENTEROLOGY, PC

NPI Number 1255576310

LBN Legal business name IZQUIERDO-GASTROENTEROLOGY, PC

Authorized official THOMAS IZQUIERDO - (MEDICAL OFFICEFR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/03/2008

Last updated 12/03/2008 - About 18 years ago

Identifiers

License #

156124

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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