| Synergy Gastroenterology PC | |
|
4161 Kissena Blvd Ste D Flushing NY 11355-3105 | |
| (718) 359-2827 | |
| Not Available |
| Full Name | Synergy Gastroenterology PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4161 Kissena Blvd Ste D, Flushing, New York |
| Authorized Official Name and Position | Ray Zhao Dong (PHYSICIAN) |
| Authorized Official Contact | 9192654957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Gastroenterology PC 4161 Kissena Blvd Ste D Flushing NY 11355-3105 | Synergy Gastroenterology PC 4161 Kissena Blvd Ste D Flushing NY 11355-3105 Ph: (718) 359-2827 |
| NPI Number | 1154172781 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 03/31/2024 |
| Medicare PECOS PAC ID | 6608215322 |
|---|---|
| Medicare Enrollment ID | O20240415001820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154172781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Ray Z Dong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679950620 PECOS PAC ID: 9931495686 Enrollment ID: I20210611000918 |
| Provider Name | Lillian Zheng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427918366 PECOS PAC ID: 0840784583 Enrollment ID: I20251210003198 |
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