Robert Courgi Llc | |
8565 Jericho Tpke Woodbury NY 11797-1804 | |
(917) 913-9993 | |
Not Available |
Full Name | Robert Courgi Llc |
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Speciality | Internal Medicine |
Location | 8565 Jericho Tpke, Woodbury, New York |
Authorized Official Name and Position | Robert G Gourgi (PRESIDENT) |
Authorized Official Contact | 9179139993 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert Courgi Llc 59 Madison St Huntington NY 11743-2744 Ph: (917) 913-9993 | Robert Courgi Llc 8565 Jericho Tpke Woodbury NY 11797-1804 Ph: (917) 913-9993 |
NPI Number | 1174269039 |
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Provider Enumeration Date | 05/12/2022 |
Last Update Date | 05/12/2022 |
Medicare PECOS PAC ID | 4385023761 |
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Medicare Enrollment ID | O20220615000016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174269039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Robert G Courgi |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1447336052 PECOS PAC ID: 6507032182 Enrollment ID: I20120103000466 |
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