OrganizationActive
Advanced Gastroenterology Practice PLLC
NPI 1184921728 · Gastroenterology Physician · New York, NY
Provider details
- NPI number
- 1184921728
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Wong, Owner(212) 775-8388
- License
- 223587 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
77 Bowery
#701
New York, NY 10002-4915
Phone: (212) 775-8388
Fax: (212) 775-8383
Approximate (ZIP-level) locationGet directions
Mailing address
77 Bowery
New York, NY 10002-4915
Additional practice locations (1)
- 175 Jericho Tpke Ste 200Syosset, NY 11791-4501Phone: (212) 775-8388Fax: (212) 775-8383
Registry dates
- Enumerated
- 2011-02-17
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.