| Greater New York Gastroenterology, Llp | |
|
2325 31st St Ste 500 Astoria NY 11105-2299 | |
| (718) 626-2337 | |
| (718) 626-7655 |
| Full Name | Greater New York Gastroenterology, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2325 31st St Ste 500, Astoria, New York |
| Authorized Official Name and Position | Jeffrey Kenneth Klingenstein (OFFICER) |
| Authorized Official Contact | 7186262337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater New York Gastroenterology, Llp 2325 31st St Ste 500 Astoria NY 11105-2299 Ph: (718) 626-2337 | Greater New York Gastroenterology, Llp 2325 31st St Ste 500 Astoria NY 11105-2299 Ph: (718) 626-2337 |
| NPI Number | 1558375584 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/26/2019 |
| Medicare PECOS PAC ID | 1658441860 |
|---|---|
| Medicare Enrollment ID | O20080530000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558375584 | NPI | - | NPPES |
| 02167173 | Medicaid | NY | |
| 01366985 | Medicaid | NY | |
| 00617905 | Medicaid | NY |
| Provider Name | George C Surla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932121456 PECOS PAC ID: 7618917113 Enrollment ID: I20050504000398 |
| Provider Name | Jeffrey K Klingenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215948310 PECOS PAC ID: 3971543489 Enrollment ID: I20050504000510 |
| Provider Name | Dan R Cimponeriu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134133218 PECOS PAC ID: 6800838731 Enrollment ID: I20050601000454 |
| Provider Name | Ruliang Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922007665 PECOS PAC ID: 6002814993 Enrollment ID: I20061202000049 |
| Provider Name | Libo Qiu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811917370 PECOS PAC ID: 0143222083 Enrollment ID: I20070206000681 |
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