Progressive Gastroenterology Llc | |
3584 Jerome Ave Bronx NY 10467-1006 | |
(718) 231-4440 | |
(718) 708-4821 |
Full Name | Progressive Gastroenterology Llc |
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Speciality | Internal Medicine |
Location | 3584 Jerome Ave, Bronx, New York |
Authorized Official Name and Position | Meir Salama (OWNER) |
Authorized Official Contact | 7182314443 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Progressive Gastroenterology Llc 3584 Jerome Ave Bronx NY 10467-1006 Ph: (718) 231-4443 | Progressive Gastroenterology Llc 3584 Jerome Ave Bronx NY 10467-1006 Ph: (718) 231-4440 |
NPI Number | 1134369481 |
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Provider Enumeration Date | 02/26/2009 |
Last Update Date | 06/10/2014 |
Medicare PECOS PAC ID | 8820146608 |
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Medicare Enrollment ID | O20090505000296 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134369481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 175708 (New York) | Primary |
207ZP0101X | Pathology - Anatomic Pathology | (* (Not Available)) | Secondary |
Provider Name | Maria T Sabatini |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1598827107 PECOS PAC ID: 6800993742 Enrollment ID: I20070529000521 |
Provider Name | Imrana Ali |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1376716894 PECOS PAC ID: 9931272283 Enrollment ID: I20080718000447 |
Provider Name | Meir Salama |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588734883 PECOS PAC ID: 7315001088 Enrollment ID: I20090123000378 |
Provider Name | Shawn S Liu |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1023338068 PECOS PAC ID: 1355567496 Enrollment ID: I20140724002282 |
Provider Name | Anthony Simms |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1972815785 PECOS PAC ID: 7012226731 Enrollment ID: I20160504001397 |
Provider Name | Yue Hua Zhang |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1538351010 PECOS PAC ID: 7517004229 Enrollment ID: I20190201001289 |
Provider Name | Mark E Smethurst |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1083874978 PECOS PAC ID: 7719137819 Enrollment ID: I20190820003173 |
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