| Sottile & Megna Md Pc | |
|
360 Edison St Staten Island NY 10306 | |
| (718) 351-6377 | |
| (718) 980-7341 |
| Full Name | Sottile & Megna Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 Edison St, Staten Island, New York |
| Authorized Official Name and Position | Vincent M Sottile (PRESIDENT) |
| Authorized Official Contact | 7183516389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sottile & Megna Md Pc 360 Edison St Staten Island NY 10306 Ph: (718) 351-6377 | Sottile & Megna Md Pc 360 Edison St Staten Island NY 10306 Ph: (718) 351-6377 |
| NPI Number | 1508846296 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 2264323013 |
|---|---|
| Medicare Enrollment ID | O20040322001890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508846296 | NPI | - | NPPES |
| C13128 | Other | NY | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael Tawfellos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609874270 PECOS PAC ID: 6507815347 Enrollment ID: I20050119000197 |
| Provider Name | Lawrence J Langan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053391482 PECOS PAC ID: 5193802437 Enrollment ID: I20080410000273 |
| Provider Name | Kiran Rijhwani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457437121 PECOS PAC ID: 2769499649 Enrollment ID: I20080428000371 |
| Provider Name | Raul Rudelli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124049671 PECOS PAC ID: 5698761070 Enrollment ID: I20090325000115 |
| Provider Name | Daniel Megna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235119660 PECOS PAC ID: 7315004884 Enrollment ID: I20100831000154 |
| Provider Name | Vincent M Sottile |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790765493 PECOS PAC ID: 1951468420 Enrollment ID: I20100831000212 |
| Provider Name | Lawrence Mancino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083685994 PECOS PAC ID: 5597822072 Enrollment ID: I20100831000255 |
| Provider Name | Ying Kit Lai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033428354 PECOS PAC ID: 9830373943 Enrollment ID: I20110414000661 |
| Provider Name | Sherif A Andrawes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477708717 PECOS PAC ID: 0749445096 Enrollment ID: I20120711000503 |
| Provider Name | Magda Daoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992051635 PECOS PAC ID: 9931438827 Enrollment ID: I20190830002049 |
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