| University Physicians Group Endocrinology Pllc | |
|
1460 Victory Blvd Staten Island NY 10301-3914 | |
| (718) 442-0300 | |
| Not Available |
| Full Name | University Physicians Group Endocrinology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1460 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Neil David Cohen (OWNER) |
| Authorized Official Contact | 7184420300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Physicians Group Endocrinology Pllc 1460 Victory Blvd Staten Island NY 10301-3914 Ph: (718) 442-0300 | University Physicians Group Endocrinology Pllc 1460 Victory Blvd Staten Island NY 10301-3914 Ph: (718) 442-0300 |
| NPI Number | 1366906588 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 4688913155 |
|---|---|
| Medicare Enrollment ID | O20190227001678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366906588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Neil D Cohen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750376059 PECOS PAC ID: 7911993639 Enrollment ID: I20040420001470 |
| Provider Name | Richard Hoffman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124013347 PECOS PAC ID: 8325034820 Enrollment ID: I20040421000918 |
| Provider Name | Vincent Calamia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275527798 PECOS PAC ID: 1850295890 Enrollment ID: I20040510000109 |
| Provider Name | Guo-xia Tong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114054244 PECOS PAC ID: 7719947639 Enrollment ID: I20041014001233 |
| Provider Name | Dana G Materia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740263839 PECOS PAC ID: 5799770996 Enrollment ID: I20090521000009 |
| Provider Name | Shahed A Quyyumi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487649885 PECOS PAC ID: 7911021746 Enrollment ID: I20100901000182 |
| Provider Name | Jeffrey Rothman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811982812 PECOS PAC ID: 1850587866 Enrollment ID: I20101201001236 |
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