EAST SIDE GASTROENTEROLOGY, P.C.
Medical Practice at 80 St, New York, NY

License number
New York 147236
Category
Medical Practice
Type
Specialist
Owner
Name: MS. SHANTA LIVERMAN CMA
Title: ASSISTANT
Phone: (212) 734-5533
Address
Address
111 E 80Th St, New York, NY 10021
National Provider ID: 1295958841
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EAST SIDE GASTROENTEROLOGY, P.C. at bizstanding.com

EAST SIDE GASTROENTEROLOGY, PC

111 E 80 St STE 1C, New York, NY 10075

Status:
Inactive
Doing business as:
East Side Gastroenterology PC - Larry Difabrizio MD
Inactive reason:
Dissolution
Registration:
Oct 30, 2006
Inactive since:
Sep 22, 2014
Phone:
(212) 717-1688 (Phone)
State ID:
3430789
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Michael P Krumholz, 111 E 80 St STE 1C, New York, NY 10075 (Physical)
Agent:
Michael P. Krumholz,111 E 80 St STE 1C, New York, NY 10075 (Physical)
Categories:
Internal Medicine Physicians & Surgeons, Pulmonary & Respiratory Physicians & Surgeons

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