| Robert Courgi Llc | |
|
8565 Jericho Tpke Woodbury NY 11797-1804 | |
| (917) 913-9993 | |
| Not Available |
| Full Name | Robert Courgi Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8565 Jericho Tpke, Woodbury, New York |
| Authorized Official Name and Position | Robert G Gourgi (PRESIDENT) |
| Authorized Official Contact | 9179139993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Courgi Llc 59 Madison St Huntington NY 11743-2744 Ph: (917) 913-9993 | Robert Courgi Llc 8565 Jericho Tpke Woodbury NY 11797-1804 Ph: (917) 913-9993 |
| NPI Number | 1174269039 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 4385023761 |
|---|---|
| Medicare Enrollment ID | O20220615000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174269039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Robert G Courgi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447336052 PECOS PAC ID: 6507032182 Enrollment ID: I20120103000466 |
| Provider Name | Tijuana L Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369486 PECOS PAC ID: 2466843990 Enrollment ID: I20211216002940 |
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