# GOLD COAST GASTROENTEROLOGY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528467685
- **Authorized official:** MR. KOSTAS SIDERIDIS D.O (OWNER)
- **Authorized official phone:** (516) 802-7555

## Contact information

- **Practice address:** 237 JERICHO TPKE, SYOSSET, NY 11791-4513
- **Practice address phone:** (516) 802-7555
- **Practice address fax:** (516) 802-7550
- **Mailing address:** 237 JERICHO TPKE, SYOSSET, NY 11791-4513
- **Mailing address phone:** (516) 802-7555
- **Mailing address fax:** (516) 802-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 220299 | NY | Yes |
| 207RG0100X | Gastroenterology Physician | 238095 | NY | — |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 08/14/2014