| Metropolitan Gastroenterology Pc | |
|
23-18 31st St Ste 300 Astoria NY 11105 | |
| (718) 932-6000 | |
| (718) 932-3194 |
| Full Name | Metropolitan Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23-18 31st St, Astoria, New York |
| Authorized Official Name and Position | Nicholas Roditis (PRESIDENT) |
| Authorized Official Contact | 7189326000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Gastroenterology Pc 23-18 31st St Ste 300 Astoria NY 11105 Ph: (718) 932-6000 | Metropolitan Gastroenterology Pc 23-18 31st St Ste 300 Astoria NY 11105 Ph: (718) 932-6000 |
| NPI Number | 1528025756 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 6406833722 |
|---|---|
| Medicare Enrollment ID | O20040706000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528025756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Nicholas Roditis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932104494 PECOS PAC ID: 3476530791 Enrollment ID: I20040915000264 |
| Provider Name | Barry Obadiah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447256508 PECOS PAC ID: 8729044250 Enrollment ID: I20041207000595 |
| Provider Name | Sabino A Augello |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831138361 PECOS PAC ID: 3678515574 Enrollment ID: I20050601000254 |
| Provider Name | Changcheng Zhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407936909 PECOS PAC ID: 8527164805 Enrollment ID: I20070502000563 |
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