| Digestive Healthcare Associates, P.c. | |
|
310 E Shore Rd 206 Great Neck NY 11023-2432 | |
| (516) 487-7677 | |
| Not Available |
| Full Name | Digestive Healthcare Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 E Shore Rd, Great Neck, New York |
| Authorized Official Name and Position | Patricia Chance (OFFICE MANAGER) |
| Authorized Official Contact | 5164877677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Healthcare Associates, P.c. 310 E Shore Rd 206 Great Neck NY 11023-2432 Ph: (516) 487-7677 | Digestive Healthcare Associates, P.c. 310 E Shore Rd 206 Great Neck NY 11023-2432 Ph: (516) 487-7677 |
| NPI Number | 1598952863 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 09/19/2018 |
| Medicare PECOS PAC ID | 4486546686 |
|---|---|
| Medicare Enrollment ID | O20040324001821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598952863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 087746 (New York) | Primary |
| Provider Name | Lisa Kandell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457423600 PECOS PAC ID: 2365433000 Enrollment ID: I20040520001211 |
| Provider Name | Andrew L Feit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861498701 PECOS PAC ID: 6800887399 Enrollment ID: I20040522000237 |
| Provider Name | Gina S Kwak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396742201 PECOS PAC ID: 1557349842 Enrollment ID: I20040713000201 |
| Provider Name | Cory Schneider |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306842075 PECOS PAC ID: 2769457803 Enrollment ID: I20040831001573 |
| Provider Name | Edward Sceppa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770589426 PECOS PAC ID: 6406822576 Enrollment ID: I20040909000558 |
| Provider Name | Maria Prudente Martocci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285630939 PECOS PAC ID: 0547238578 Enrollment ID: I20040917000967 |
| Provider Name | Richard J Grieco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144226978 PECOS PAC ID: 0345283743 Enrollment ID: I20050607000500 |
| Provider Name | Saad Marghoob |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992701841 PECOS PAC ID: 5294779823 Enrollment ID: I20050615000178 |
| Provider Name | Paul Lawrence Epstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427058270 PECOS PAC ID: 9739124652 Enrollment ID: I20050622000205 |
| Provider Name | John P Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902819386 PECOS PAC ID: 7517993587 Enrollment ID: I20050711000831 |
| Provider Name | Greg Palleschi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306842372 PECOS PAC ID: 5991795577 Enrollment ID: I20060308000590 |
| Provider Name | Robert Laporta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578569349 PECOS PAC ID: 7618881657 Enrollment ID: I20060407000161 |
| Provider Name | Floyd Forbes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285635441 PECOS PAC ID: 6406760453 Enrollment ID: I20060413000070 |
| Provider Name | Robert Herenstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932105871 PECOS PAC ID: 1153330576 Enrollment ID: I20060413000098 |
| Provider Name | Ronald Lessen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588660328 PECOS PAC ID: 6608945126 Enrollment ID: I20080522000632 |
| Provider Name | Jonathan D Hirsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750387585 PECOS PAC ID: 5799699732 Enrollment ID: I20080619000377 |
| Provider Name | Benita P Ponda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215093349 PECOS PAC ID: 4486714748 Enrollment ID: I20081118000022 |
| Provider Name | Joshua D Sisser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205078599 PECOS PAC ID: 6800944620 Enrollment ID: I20090506000126 |
| Provider Name | Robert D Herman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366440067 PECOS PAC ID: 6103995188 Enrollment ID: I20100204000601 |
| Provider Name | Anthony Celifarco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205839305 PECOS PAC ID: 9830276294 Enrollment ID: I20100310000372 |
| Provider Name | Brian Daniel Woods |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710959978 PECOS PAC ID: 8123000619 Enrollment ID: I20100325000407 |
| Provider Name | Michael J Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063410645 PECOS PAC ID: 0840369823 Enrollment ID: I20100325001058 |
| Provider Name | Barry S Ginsberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376567545 PECOS PAC ID: 9537354162 Enrollment ID: I20101109001081 |
| Provider Name | Steven B Schulman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114930591 PECOS PAC ID: 2466640255 Enrollment ID: I20101221000274 |
| Provider Name | Bryan S Kahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194738575 PECOS PAC ID: 7113115965 Enrollment ID: I20101221000950 |
| Provider Name | Zaid Ahmad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871507947 PECOS PAC ID: 6800084526 Enrollment ID: I20101222000625 |
| Provider Name | Michele Novak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740293125 PECOS PAC ID: 2961690698 Enrollment ID: I20101222000671 |
| Provider Name | John R Alfarone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760406003 PECOS PAC ID: 1254520224 Enrollment ID: I20110106000004 |
| Provider Name | Philip H Weinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467476630 PECOS PAC ID: 1153510136 Enrollment ID: I20110106000148 |
| Provider Name | Uday M Kumbar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619990041 PECOS PAC ID: 3870782865 Enrollment ID: I20110106000267 |
| Provider Name | Jeffrey E Baumel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285658450 PECOS PAC ID: 1052500055 Enrollment ID: I20110106000373 |
| Provider Name | Andrew Chilicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124024930 PECOS PAC ID: 0042373169 Enrollment ID: I20110321000368 |
| Provider Name | Jeffrey Cantele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356347157 PECOS PAC ID: 6406919521 Enrollment ID: I20110321000461 |
| Provider Name | Steven Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568468262 PECOS PAC ID: 0143383265 Enrollment ID: I20110331000416 |
| Provider Name | Douglas Carras |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437155249 PECOS PAC ID: 9133282254 Enrollment ID: I20110401000263 |
| Provider Name | Hannah J Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871743666 PECOS PAC ID: 7618124082 Enrollment ID: I20120821000391 |
| Provider Name | James D Kelleher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669738571 PECOS PAC ID: 8820388390 Enrollment ID: I20160613001186 |
| Provider Name | Joseph A Ilasi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740312818 PECOS PAC ID: 2769628452 Enrollment ID: I20180627001360 |
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Long Island Medical And Gastroenterology Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 192 E Shore Rd, Great Neck, NY 11023 Phone: 516-487-4500 Fax: 516-487-7439 | |
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