| Sri Gastroenterology Pc | |
|
901 Stewart Ave Garden City NY 11530-4893 | |
| (516) 222-2727 | |
| (718) 416-3652 |
| Full Name | Sri Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 Stewart Ave, Garden City, New York |
| Authorized Official Name and Position | Sridevi Bhumi (PHYSICIAN) |
| Authorized Official Contact | 7184164389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sri Gastroenterology Pc 8 Quaker Ln Old Westbury NY 11568-1320 Ph: (718) 416-4389 | Sri Gastroenterology Pc 901 Stewart Ave Garden City NY 11530-4893 Ph: (516) 222-2727 |
| NPI Number | 1356606743 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 01/10/2014 |
| Medicare PECOS PAC ID | 7315195237 |
|---|---|
| Medicare Enrollment ID | O20120919000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356606743 | NPI | - | NPPES |
| A1000075759 | Other | NY | MEDICARE PTAN |
| A400075761 | Other | NY | MEDICARE PTAN OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Karen M Cox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871596221 PECOS PAC ID: 0042102063 Enrollment ID: I20040325001294 |
| Provider Name | Yurong Cai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972526671 PECOS PAC ID: 4789670381 Enrollment ID: I20040421000181 |
| Provider Name | Andrew M.g. Davy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891757274 PECOS PAC ID: 3678560836 Enrollment ID: I20040428001651 |
| Provider Name | Sridevi Bhumi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306906938 PECOS PAC ID: 3678524717 Enrollment ID: I20050205000008 |
| Provider Name | Anthony Fernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699747352 PECOS PAC ID: 7719939156 Enrollment ID: I20050215000105 |
| Provider Name | Steven Frank Macharola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265571236 PECOS PAC ID: 1052334976 Enrollment ID: I20060106000193 |
| Provider Name | Arturo Mazzeo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467669135 PECOS PAC ID: 9436241569 Enrollment ID: I20070822000281 |
| Provider Name | Jianhong J Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386848778 PECOS PAC ID: 5092882969 Enrollment ID: I20080918000035 |
| Provider Name | Talaat Z Labib |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326067307 PECOS PAC ID: 1456416809 Enrollment ID: I20090218000302 |
| Provider Name | Anupama C Masand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518025402 PECOS PAC ID: 3072644475 Enrollment ID: I20100629000582 |
| Provider Name | Erik J Reiersen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740348531 PECOS PAC ID: 2466583877 Enrollment ID: I20100629000675 |
| Provider Name | Bill N Tsu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194883082 PECOS PAC ID: 9335270651 Enrollment ID: I20100701000113 |
| Provider Name | Hai Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457324618 PECOS PAC ID: 1456531136 Enrollment ID: I20110214000016 |
| Provider Name | Parviz Soomekh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528233079 PECOS PAC ID: 3779766118 Enrollment ID: I20110323000356 |
| Provider Name | James M Cossaro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083686869 PECOS PAC ID: 6406030113 Enrollment ID: I20110405000092 |
| Provider Name | Olga A Epelbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184815946 PECOS PAC ID: 2365614062 Enrollment ID: I20110930000057 |
| Provider Name | Anirban Kanjilal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134514375 PECOS PAC ID: 7113253444 Enrollment ID: I20190724003574 |
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