| Sav Endoscopy Pc | |
|
305 Seguine Ave Staten Island NY 10309-3709 | |
| (718) 227-1282 | |
| Not Available |
| Full Name | Sav Endoscopy Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 305 Seguine Ave, Staten Island, New York |
| Authorized Official Name and Position | Anu Sampat (OWNER) |
| Authorized Official Contact | 7182271285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sav Endoscopy Pc Po Box 391 Holmdel NJ 07733-0391 Ph: (718) 227-1282 | Sav Endoscopy Pc 305 Seguine Ave Staten Island NY 10309-3709 Ph: (718) 227-1282 |
| NPI Number | 1912316209 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 04/13/2017 |
| Medicare PECOS PAC ID | 5395965602 |
|---|---|
| Medicare Enrollment ID | O20141009000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912316209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2016391 (New York) | Primary |
| Provider Name | Emil Petrov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639139934 PECOS PAC ID: 8224126966 Enrollment ID: I20071114000276 |
| Provider Name | Anu Sampat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437116076 PECOS PAC ID: 5597815845 Enrollment ID: I20090609000241 |
| Provider Name | Rongshan Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750335667 PECOS PAC ID: 5799747739 Enrollment ID: I20150323001567 |
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