Provider Demographics
NPI:1326447145
Name:GI HEALTH AND MEDICAL PLLC
Entity Type:Organization
Organization Name:GI HEALTH AND MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-431-4309
Mailing Address - Street 1:139 CENTRE ST STE 609
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4556
Mailing Address - Country:US
Mailing Address - Phone:212-431-4309
Mailing Address - Fax:212-343-8104
Practice Address - Street 1:139 CENTRE ST STE 609
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4556
Practice Address - Country:US
Practice Address - Phone:212-431-4309
Practice Address - Fax:212-343-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCERT #4450261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCERT# 4450OtherAMERICAN ASSOCIATION FOR ACCCREDITATION OF AMBULATORY SURGERY FACILITIIES, INC.