Provider Demographics
NPI:1255352084
Name:GASTROINTESTINAL AND HEPATOBILIARY CONSULTANTS PC
Entity type:Organization
Organization Name:GASTROINTESTINAL AND HEPATOBILIARY CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBOVICS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-493-7337
Mailing Address - Street 1:NYMC-MUNGER PAVILION
Mailing Address - Street 2:SUITE 206
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-7337
Mailing Address - Fax:914-594-4317
Practice Address - Street 1:NYMC-MUNGER PAVILION
Practice Address - Street 2:SUITE 206
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7337
Practice Address - Fax:914-594-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7979016OtherAETNA PPO
NYCG6004OtherRAILROAD MEDICARE GROUP#
NY2172916OtherAETNA HMO
NY7979016OtherAETNA PPO