| Shk Premier Gastroenterology, Pc | |
|
5645 Main St Flushing NY 11355-5045 | |
| (718) 670-1159 | |
| (718) 670-2456 |
| Full Name | Shk Premier Gastroenterology, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5645 Main St, Flushing, New York |
| Authorized Official Name and Position | Sang Kim (PRESIDENT) |
| Authorized Official Contact | 6463540416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shk Premier Gastroenterology, Pc 15439 Riverside Dr Beechhurst NY 11357-1339 Ph: (646) 354-0416 | Shk Premier Gastroenterology, Pc 5645 Main St Flushing NY 11355-5045 Ph: (718) 670-1159 |
| NPI Number | 1538305131 |
|---|---|
| Provider Enumeration Date | 01/02/2009 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538305131 | NPI | - | NPPES |
| 9255UA | Other | NY | GHI MEDICARE |
| 02728210 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 216433 (New York) | Primary |
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