Organization
SRI GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDEVI BHUMI MD (PHYSICIAN)
(718) 416-4389
Entity
Organization
Contact information
Practice address
901 STEWART AVE, GARDEN CITY, NY 11530-4893
(516) 222-2727
(718) 416-3652
Mailing address
8 QUAKER LN, OLD WESTBURY, NY 11568-1320
(718) 416-4389
(718) 416-3652
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1000075759
MEDICARE PTAN
NY
01
—
A400075761
MEDICARE PTAN OTHER
NY
Enumeration date
07/11/2012
Last updated
01/10/2014
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