Grand Street Gastroenterology, Inc.

LBN: Grand Street Gastroenterology, Inc.
Grand Street Gastroenterology, Inc. is an health care organization with primary practice located at 33 Grand St , Kingston NY 12401-3933. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Grand Street Gastroenterology, Inc. can be contacted via phone (845) 853-8106, or through Clearwater, Stephanie via phone (845) 853-8106.

Contact Information

Primary practice address
33 Grand St Kingston NY 12401-3933
Phone: (845) 853-8106
Fax: (845) 853-8093
Website:
Map and Directions
Authorized official contact:
Name: Clearwater, Stephanie
Phone: (845) 853-8106

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 5501209R New York

Profile Details

NPI number 1831259795
LBN Legal business name Grand Street Gastroenterology, Inc.
DBA Doing business as
Authorized official Clearwater, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated May 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831259795 NPPES
New York MEDICAID 02523619

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