Provider Demographics
NPI:1053495507
Name:GREENWICH VILLAGE GASTROENTEROLOGY, P.C.
Entity type:Organization
Organization Name:GREENWICH VILLAGE GASTROENTEROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STARPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-471-1354
Mailing Address - Street 1:55 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4106
Mailing Address - Country:US
Mailing Address - Phone:845-471-1354
Mailing Address - Fax:845-689-0610
Practice Address - Street 1:55 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4106
Practice Address - Country:US
Practice Address - Phone:845-471-1354
Practice Address - Fax:845-689-0610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty