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

Manhattan Gastroenterology PC

Organization Optometrist · NPI 1922396472

Manhattan Gastroenterology PC is an Optometrist in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
7
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

55 W 17th St
New York, NY 10011-5513
Phone: (212) 427-8761
Fax: (212) 427-8762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 983 Park Ave Ste 1d, New York, NY 10028-0808 — (212) 427-8761

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Optometrist Taxonomy 152W00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X · Licence 244392 (NY)
Gynecology Physician Taxonomy 207VG0400X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1922396472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Khodadadian — Owner · (646) 351-0911
NPI enumeratedJuly 19, 2011
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address121 W 27th St Ste 504, New York, NY 10001-6207

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