| Park Avenue Gastroenterology & Digestive Health, Pllc | |
|
755 Park Ave Suite 200 Huntington NY 11743-3975 | |
| (631) 683-4235 | |
| Not Available |
| Full Name | Park Avenue Gastroenterology & Digestive Health, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 755 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Imran Zaffer (OWNER PHYSICIAN) |
| Authorized Official Contact | 6316834235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Gastroenterology & Digestive Health, Pllc 755 Park Ave Suite 200 Huntington NY 11743-3975 Ph: () - | Park Avenue Gastroenterology & Digestive Health, Pllc 755 Park Ave Suite 200 Huntington NY 11743-3975 Ph: (631) 683-4235 |
| NPI Number | 1023285301 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 01/31/2013 |
| Medicare PECOS PAC ID | 2860561040 |
|---|---|
| Medicare Enrollment ID | O20080514000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023285301 | NPI | - | NPPES |
| 244910 | Other | NY | LICENSE NUMBER |
| 3V9091 | Other | NY | MEDICARE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 244910 (New York) | Primary |
| Provider Name | Elena I Raftopol |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497838460 PECOS PAC ID: 9931091691 Enrollment ID: I20040326001127 |
| Provider Name | Xiaochang J Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619973625 PECOS PAC ID: 8527046952 Enrollment ID: I20040712000524 |
| Provider Name | Maria F Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992794499 PECOS PAC ID: 3476574401 Enrollment ID: I20051217000008 |
| Provider Name | Steven Teplitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003815960 PECOS PAC ID: 5193813392 Enrollment ID: I20071126000288 |
| Provider Name | Imran Zaffer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437195427 PECOS PAC ID: 2961571146 Enrollment ID: I20080514000025 |
| Provider Name | Miroslav R Radevic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275779894 PECOS PAC ID: 8628123759 Enrollment ID: I20110112000715 |
| Provider Name | Gang He |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164613667 PECOS PAC ID: 5294821914 Enrollment ID: I20131204000479 |
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