| Gastroenterology Consultants Of Long Island, Pc | |
|
2001 Marcus Ave Suite E240 New Hyde Park NY 11042-2061 | |
| (516) 673-4801 | |
| (516) 352-3680 |
| Full Name | Gastroenterology Consultants Of Long Island, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Marcus Ave, New Hyde Park, New York |
| Authorized Official Name and Position | John M Costable (PRESIDENT) |
| Authorized Official Contact | 5166734801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Of Long Island, Pc 2001 Marcus Ave Suite E240 New Hyde Park NY 11042-2061 Ph: (516) 673-4801 | Gastroenterology Consultants Of Long Island, Pc 2001 Marcus Ave Suite E240 New Hyde Park NY 11042-2061 Ph: (516) 673-4801 |
| NPI Number | 1730120536 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 01/17/2014 |
| Medicare PECOS PAC ID | 0840236774 |
|---|---|
| Medicare Enrollment ID | O20070305000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730120536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Anil S Patil |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740286111 PECOS PAC ID: 3476546755 Enrollment ID: I20040405000121 |
| Provider Name | Yongmei D Yin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164537338 PECOS PAC ID: 2860465713 Enrollment ID: I20040818000503 |
| Provider Name | Ian M Storch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821040734 PECOS PAC ID: 5395847743 Enrollment ID: I20070303000004 |
| Provider Name | Anamika Roy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063517969 PECOS PAC ID: 0648442574 Enrollment ID: I20111018000616 |
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