| Gold Coast Gastroenterology P.c. | |
|
237 Jericho Tpke Syosset NY 11791-4513 | |
| (516) 802-7555 | |
| (516) 802-7550 |
| Full Name | Gold Coast Gastroenterology P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 237 Jericho Tpke, Syosset, New York |
| Authorized Official Name and Position | Kostas Sideridis (OWNER) |
| Authorized Official Contact | 5168027555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Gastroenterology P.c. 237 Jericho Tpke Syosset NY 11791-4513 Ph: (516) 802-7555 | Gold Coast Gastroenterology P.c. 237 Jericho Tpke Syosset NY 11791-4513 Ph: (516) 802-7555 |
| NPI Number | 1528467685 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/14/2014 |
| Medicare PECOS PAC ID | 7416245931 |
|---|---|
| Medicare Enrollment ID | O20161014001659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528467685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 220299 (New York) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | 238095 (New York) | Secondary |
| Provider Name | Mary S Cheung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114243219 PECOS PAC ID: 3173707502 Enrollment ID: I20110411000140 |
| Provider Name | Faisal Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114188000 PECOS PAC ID: 8729208368 Enrollment ID: I20141003000422 |
| Provider Name | Steven Guttmann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942438700 PECOS PAC ID: 2466749379 Enrollment ID: I20160921000030 |
| Provider Name | Mitanshu Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215240221 PECOS PAC ID: 7315217064 Enrollment ID: I20170728000083 |
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