Provider Demographics
NPI:1255660643
Name:DIGESTIVE MEDICINE OF LONG ISLAND, PLLC
Entity Type:Organization
Organization Name:DIGESTIVE MEDICINE OF LONG ISLAND, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKREIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-326-2700
Mailing Address - Street 1:2001 MARCUS AVE
Mailing Address - Street 2:SUITE W85
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1011
Mailing Address - Country:US
Mailing Address - Phone:516-326-2700
Mailing Address - Fax:516-326-2112
Practice Address - Street 1:2001 MARCUS AVE
Practice Address - Street 2:SUITE W85
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1011
Practice Address - Country:US
Practice Address - Phone:516-326-2700
Practice Address - Fax:516-326-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155735207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty