Long Island Medical P.c. | |
237 Jericho Tpke Syosset NY 11791-4513 | |
(516) 584-6400 | |
(516) 584-6401 |
Full Name | Long Island Medical P.c. |
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Speciality | Internal Medicine |
Location | 237 Jericho Tpke, Syosset, New York |
Authorized Official Name and Position | Jaydeep Shivaji Kadam (CO PRESIDENT) |
Authorized Official Contact | 5165846400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Long Island Medical P.c. 237 Jericho Tpke Syosset NY 11791-4513 Ph: (516) 584-6400 | Long Island Medical P.c. 237 Jericho Tpke Syosset NY 11791-4513 Ph: (516) 584-6400 |
NPI Number | 1659500106 |
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Provider Enumeration Date | 07/06/2009 |
Last Update Date | 07/06/2009 |
Medicare PECOS PAC ID | 8426102070 |
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Medicare Enrollment ID | O20090817000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659500106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 238095 (New York) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | 220299 (New York) | Secondary |
Provider Name | Kostas Sideridis |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003913682 PECOS PAC ID: 7911003264 Enrollment ID: I20070502000344 |
Provider Name | Zujin Li |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1902018161 PECOS PAC ID: 9133298763 Enrollment ID: I20080521000774 |
Provider Name | Jaydeep S Kadam |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1023254612 PECOS PAC ID: 1052465606 Enrollment ID: I20090817000131 |
Provider Name | Hongbei Wang |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1063676500 PECOS PAC ID: 0244356335 Enrollment ID: I20100927000443 |
Provider Name | Mary S Cheung |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114243219 PECOS PAC ID: 3173707502 Enrollment ID: I20110411000140 |
Provider Name | David H Oustecky |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952547945 PECOS PAC ID: 1658535836 Enrollment ID: I20120620000185 |
Provider Name | Gang He |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1164613667 PECOS PAC ID: 5294821914 Enrollment ID: I20131204000479 |
Provider Name | Faisal Sheikh |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114188000 PECOS PAC ID: 8729208368 Enrollment ID: I20141003000422 |
Provider Name | Bo Feng |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1669672994 PECOS PAC ID: 1153472303 Enrollment ID: I20160318001124 |
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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