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 provides Specialist services 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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