Provider Demographics
NPI:1194025973
Name:LONG ISLAND GASTROENTEROLOGY AND LIVER DISEASE P.C.
Entity Type:Organization
Organization Name:LONG ISLAND GASTROENTEROLOGY AND LIVER DISEASE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZVI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-265-0062
Mailing Address - Street 1:48 ROUTE 25A STE 307
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1454
Mailing Address - Country:US
Mailing Address - Phone:631-265-0062
Mailing Address - Fax:631-265-0590
Practice Address - Street 1:48 ROUTE 25A STE 307
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1454
Practice Address - Country:US
Practice Address - Phone:631-265-0062
Practice Address - Fax:631-265-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty