Pgr Gastro LLC
Pgr Gastro LLC is an Anatomic Pathology & Clinical Pathology Physician in Valley Stream, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
774 Dumont PlValley Stream, NY 11581-3122
Phone: (718) 979-9790
Fax: (718) 979-9798
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X |
|---|---|
| Endoscopy Clinic/Center | Taxonomy 261QE0800X |
Record details
| NPI number | 1073106639 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ross Brown — Credentialing Ex · (718) 313-0438 |
| NPI enumerated | February 15, 2021 |
| Last updated in NPPES | July 25, 2023 |
| Certification date | July 25, 2023 |
| Mailing address | 457 Alter Ave, Staten Island, NY 10305-2310 |