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

East Side Gastroenterology, PC

Organization Specialist · NPI 1295958841

East Side Gastroenterology, PC is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 E 80th St 1C
New York, NY 10021-0334
Phone: (212) 734-5533
Fax: (212) 717-1688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 147236 (NY)

Record details

NPI number1295958841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanta Liverman — Assistant · (212) 734-5533
NPI enumeratedApril 11, 2007
Last updated in NPPESAugust 22, 2020
Mailing address111 E 80th St, 1c, New York, NY 10021-0334

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