| St. Lucie Gastrointestinal Diseases Pl | |
|
Elm And Carlton Street Buffalo NY 14263-0001 | |
| (716) 845-2300 | |
| Not Available |
| Full Name | St. Lucie Gastrointestinal Diseases Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | Elm And Carlton Street, Buffalo, New York |
| Authorized Official Name and Position | Khiem Nguyen (PHYSICIAN) |
| Authorized Official Contact | 2152754598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Lucie Gastrointestinal Diseases Pl 430 Chanslor Rd Brunswick GA 31525-8707 Ph: (215) 275-4598 | St. Lucie Gastrointestinal Diseases Pl Elm And Carlton Street Buffalo NY 14263-0001 Ph: (716) 845-2300 |
| NPI Number | 1518128438 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 07/10/2025 |
| Medicare PECOS PAC ID | 6002978830 |
|---|---|
| Medicare Enrollment ID | O20090102000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518128438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Khiem D Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316922511 PECOS PAC ID: 7810991866 Enrollment ID: I20090102000316 |
| Provider Name | Angelica Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124636089 PECOS PAC ID: 2668890146 Enrollment ID: I20200915002567 |
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