| Precision Digestive Care, Pc | |
|
205 E Main St Ste 1-4 Huntington NY 11743-7931 | |
| (000) 000-0000 | |
| (000) 000-0000 |
| Full Name | Precision Digestive Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 205 E Main St Ste 1-4, Huntington, New York |
| Authorized Official Name and Position | Frederick Gandolfo (OWNER) |
| Authorized Official Contact | 5163654949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Digestive Care, Pc 205 E Main St Ste 1-4 Huntington NY 11743-7931 Ph: (000) 000-0000 | Precision Digestive Care, Pc 205 E Main St Ste 1-4 Huntington NY 11743-7931 Ph: (000) 000-0000 |
| NPI Number | 1306350483 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 11/27/2017 |
| Medicare PECOS PAC ID | 5092077990 |
|---|---|
| Medicare Enrollment ID | O20180312001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306350483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Scott J Streater |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508856865 PECOS PAC ID: 7719903608 Enrollment ID: I20070518000429 |
| Provider Name | Frederick Gandolfo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053550079 PECOS PAC ID: 5092970731 Enrollment ID: I20120703000484 |
| Provider Name | Jessica N. Beyda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811232846 PECOS PAC ID: 5991008179 Enrollment ID: I20160121001538 |
| Provider Name | Amita Kundra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013210574 PECOS PAC ID: 2062631641 Enrollment ID: I20171009002374 |
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