Provider Demographics
NPI:1285977975
Name:GASTROINTESTINAL AND LIVER CARE GROUP PLLC
Entity type:Organization
Organization Name:GASTROINTESTINAL AND LIVER CARE GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:COSTABILE
Authorized Official - Last Name:DILORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-725-9115
Mailing Address - Street 1:688 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5059
Mailing Address - Country:US
Mailing Address - Phone:914-725-9115
Mailing Address - Fax:914-725-3465
Practice Address - Street 1:688 WHITE PLAINS RD
Practice Address - Street 2:SUITE 222
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5059
Practice Address - Country:US
Practice Address - Phone:914-725-9115
Practice Address - Fax:914-725-3465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty