| Ae&ly Ambulatory Endoscopy Pllc | |
|
13252 41st Ave Apt Mc Flushing NY 11355-5847 | |
| (718) 321-3262 | |
| (718) 321-3263 |
| Full Name | Ae&ly Ambulatory Endoscopy Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13252 41st Ave Apt Mc, Flushing, New York |
| Authorized Official Name and Position | Sally Chu (BILLING MANAGER) |
| Authorized Official Contact | 7183213262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ae&ly Ambulatory Endoscopy Pllc 13252 41st Ave Apt Mc Flushing NY 11355-5847 Ph: (718) 321-3262 | Ae&ly Ambulatory Endoscopy Pllc 13252 41st Ave Apt Mc Flushing NY 11355-5847 Ph: (718) 321-3262 |
| NPI Number | 1609019819 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 01/15/2014 |
| Medicare PECOS PAC ID | 3870630130 |
|---|---|
| Medicare Enrollment ID | O20091020000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609019819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ashraf Samaan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437104437 PECOS PAC ID: 2163328121 Enrollment ID: I20031210000430 |
| Provider Name | Howard J Prusack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598744161 PECOS PAC ID: 7416842372 Enrollment ID: I20040219000010 |
| Provider Name | Raymond Hinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003821828 PECOS PAC ID: 0547158248 Enrollment ID: I20040305000077 |
| Provider Name | Swapnil S Shetye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588606917 PECOS PAC ID: 0042102626 Enrollment ID: I20040329000054 |
| Provider Name | Khondeker M Rahman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306880547 PECOS PAC ID: 6406846633 Enrollment ID: I20040518000505 |
| Provider Name | Prabhakar R Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578597068 PECOS PAC ID: 4981675824 Enrollment ID: I20040804000128 |
| Provider Name | Steve Xiang-hui Shay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548203953 PECOS PAC ID: 6103715040 Enrollment ID: I20040819000011 |
| Provider Name | Syedur R Chowdhury |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942294392 PECOS PAC ID: 6901825983 Enrollment ID: I20051118000491 |
| Provider Name | Ming Jiang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184756744 PECOS PAC ID: 7719890037 Enrollment ID: I20070529000413 |
| Provider Name | Jianhong J Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386848778 PECOS PAC ID: 5092882969 Enrollment ID: I20080918000035 |
| Provider Name | Andres R Santos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932375664 PECOS PAC ID: 9931269248 Enrollment ID: I20081117000429 |
| Provider Name | Diane F Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982845038 PECOS PAC ID: 7618010588 Enrollment ID: I20100202000041 |
| Provider Name | Stanley O Ikezi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1023245883 PECOS PAC ID: 4789800566 Enrollment ID: I20190403002885 |
| Provider Name | Graham Reid Hadley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073976999 PECOS PAC ID: 6800189507 Enrollment ID: I20210316000202 |
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