Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced Gastroenterology Practice PLLC

Organization Gastroenterology Physician · NPI 1184921728

Advanced Gastroenterology Practice PLLC is a Gastroenterology Physician in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Bowery #701
New York, NY 10002-4915
Phone: (212) 775-8388
Fax: (212) 775-8383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 175 Jericho Tpke Ste 200, Syosset, NY 11791-4501 — (212) 775-8388

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 223587 (NY)

Record details

NPI number1184921728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Wong — Owner · (212) 775-8388
NPI enumeratedFebruary 17, 2011
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address77 Bowery, 701, New York, NY 10002-4915

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