| West Lincoln Endoscopy Pllc | |
|
20 W Lincoln Ave Suite 201 Valley Stream NY 11580-5730 | |
| (516) 872-3885 | |
| Not Available |
| Full Name | West Lincoln Endoscopy Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 W Lincoln Ave, Valley Stream, New York |
| Authorized Official Name and Position | Barry S Dorf (PHYSICIAN) |
| Authorized Official Contact | 5168723885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Lincoln Endoscopy Pllc 20 W Lincoln Ave Suite 201 Valley Stream NY 11580-5730 Ph: (516) 872-3885 | West Lincoln Endoscopy Pllc 20 W Lincoln Ave Suite 201 Valley Stream NY 11580-5730 Ph: (516) 872-3885 |
| NPI Number | 1841421542 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 07/30/2009 |
| Medicare PECOS PAC ID | 9638205479 |
|---|---|
| Medicare Enrollment ID | O20100331000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841421542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 147051 (New York) | Primary |
| Provider Name | Debasis Adhikari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417946781 PECOS PAC ID: 1557307824 Enrollment ID: I20050708000181 |
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