| Gastroenterology & Nutrition, Pc | |
|
10816 72nd Ave 2 Floor Forest Hills NY 11375-5653 | |
| (718) 261-0900 | |
| (718) 261-0944 |
| Full Name | Gastroenterology & Nutrition, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10816 72nd Ave, Forest Hills, New York |
| Authorized Official Name and Position | Samuel Davidoff (OFFICER) |
| Authorized Official Contact | 7182610900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology & Nutrition, Pc 10816 72nd Ave 2 Floor Forest Hills NY 11375-5653 Ph: (718) 261-0900 | Gastroenterology & Nutrition, Pc 10816 72nd Ave 2 Floor Forest Hills NY 11375-5653 Ph: (718) 261-0900 |
| NPI Number | 1427214949 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 10/12/2012 |
| Medicare PECOS PAC ID | 2567530736 |
|---|---|
| Medicare Enrollment ID | O20081001000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427214949 | NPI | - | NPPES |
| 1922055276 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 229243 (New York) | Primary |
| Provider Name | Samuel Davidoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922055276 PECOS PAC ID: 5395734917 Enrollment ID: I20040510000487 |
| Provider Name | Vyacheslav B Fattakhov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952395303 PECOS PAC ID: 1850368689 Enrollment ID: I20040913000315 |
| Provider Name | Roy Berenholtz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215194261 PECOS PAC ID: 2466520234 Enrollment ID: I20081018000041 |
| Provider Name | Miroslav R Radevic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275779894 PECOS PAC ID: 8628123759 Enrollment ID: I20110112000715 |
| Provider Name | Yuriy Israel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154563682 PECOS PAC ID: 1557659646 Enrollment ID: I20161005000677 |
| Provider Name | Rafael Yaakobov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689115065 PECOS PAC ID: 7911236096 Enrollment ID: I20190916001629 |
| Provider Name | Lyubov Yushuvayev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212561 PECOS PAC ID: 0749698926 Enrollment ID: I20210428001810 |
| Provider Name | Emanuel Yaakobov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319087 PECOS PAC ID: 0941679351 Enrollment ID: I20221207000795 |
| Provider Name | Artur Kaykov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548970502 PECOS PAC ID: 9931573300 Enrollment ID: I20230327000543 |
Queens Family Medical Health And Wellness, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11120 Queens Blvd, Forest Hills, NY 11375 Phone: 718-261-7600 Fax: 718-261-7606 | |
Austin Medical Obs, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Austin St, Suite 101, Forest Hills, NY 11375 Phone: 718-830-9500 Fax: 718-793-8407 | |
Compassionate Community Physicians Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6861 Yellowstone Blvd Apt 116, Forest Hills, NY 11375 Phone: 347-689-8880 | |
Forrest Hills Medical Of New York Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10814 72nd Ave, Suite 4, Forest Hills, NY 11375 Phone: 914-346-5175 Fax: 914-346-5176 | |
Preferred Health Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6902 Austin St Fl 3, Forest Hills, NY 11375 Phone: 718-263-1450 Fax: 718-263-1454 | |
Fund America Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9822 Metropolitan Ave, Forest Hills, NY 11375 Phone: 718-268-2648 | |
Main Street Health Partners, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11835 Queens Blvd Ste 400, Forest Hills, NY 11375 Phone: 718-428-4100 |