| Long Island Medical P.c. | |
| 
					237 Jericho Tpke Syosset NY 11791-4513  | |
| (516) 584-6400 | |
| (516) 584-6401 | 
| Full Name | Long Island Medical P.c. | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 237 Jericho Tpke, Syosset, New York | 
| Authorized Official Name and Position | Jaydeep Shivaji Kadam (CO PRESIDENT) | 
| Authorized Official Contact | 5165846400 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Long Island Medical P.c. 237 Jericho Tpke Syosset NY 11791-4513 Ph: (516) 584-6400  | Long Island Medical P.c. 237 Jericho Tpke Syosset NY 11791-4513 Ph: (516) 584-6400  | 
| NPI Number | 1659500106 | 
|---|---|
| Provider Enumeration Date | 07/06/2009 | 
| Last Update Date | 07/06/2009 | 
| Medicare PECOS PAC ID | 8426102070 | 
|---|---|
| Medicare Enrollment ID | O20090817000013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659500106 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 220299 (New York) | Secondary | 
| 207RG0100X | Internal Medicine - Gastroenterology | 238095 (New York) | Primary | 
| Provider Name | Kostas Sideridis | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1003913682 PECOS PAC ID: 7911003264 Enrollment ID: I20070502000344  | 
| Provider Name | Zujin Li | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1902018161 PECOS PAC ID: 9133298763 Enrollment ID: I20080521000774  | 
| Provider Name | Jaydeep S Kadam | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1023254612 PECOS PAC ID: 1052465606 Enrollment ID: I20090817000131  | 
| Provider Name | Hongbei Wang | 
|---|---|
| Provider Type | Practitioner - Dermatology | 
| Provider Identifiers | NPI Number: 1063676500 PECOS PAC ID: 0244356335 Enrollment ID: I20100927000443  | 
| Provider Name | Mary S Cheung | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1114243219 PECOS PAC ID: 3173707502 Enrollment ID: I20110411000140  | 
| Provider Name | David H Oustecky | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1952547945 PECOS PAC ID: 1658535836 Enrollment ID: I20120620000185  | 
| Provider Name | Gang He | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1164613667 PECOS PAC ID: 5294821914 Enrollment ID: I20131204000479  | 
| Provider Name | Faisal Sheikh | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1114188000 PECOS PAC ID: 8729208368 Enrollment ID: I20141003000422  | 
| Provider Name | Bo Feng | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1669672994 PECOS PAC ID: 1153472303 Enrollment ID: I20160318001124  | 
| Provider Name | Steven Guttmann | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1942438700 PECOS PAC ID: 2466749379 Enrollment ID: I20160921000030  | 
| Provider Name | Mitanshu Shah | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1215240221 PECOS PAC ID: 7315217064 Enrollment ID: I20170728000083  | 
| Provider Name | Michael Ashamalla | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1427589423 PECOS PAC ID: 2466875067 Enrollment ID: I20200714002889  | 
Marianne Young Physician Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Jericho Tpke, Syosset, NY 11791 Phone: 631-249-2242  | |
Syosset Endocrinology Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Jericho Tpke, Suite 204, Syosset, NY 11791 Phone: 631-271-9151  | |
American Current Care P.a . Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Underhill Blvd, Syosset, NY 11791 Phone: 516-921-9005  | |
Diabetes And Endocrine Care Of Long Island Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Jericho Tpke, Suite 300, Syosset, NY 11791 Phone: 516-496-1616 Fax: 516-496-1617  | |
Iv Evolution Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Berry Hill Rd, Syosset, NY 11791 Phone: 516-273-1448  | |
Randolph P Dilorenzo Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Cold Spring Rd, Syosset, NY 11791 Phone: 516-921-2817 Fax: 516-921-5611  | |
Garumuni Anura Desilva, Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6851 Jericho Tpke Ste 150, Syosset, NY 11791 Phone: 203-497-3861 Fax: 203-424-1467  |