Organization
GOLD COAST GASTROENTEROLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOSTAS SIDERIDIS D.O (OWNER)
(516) 802-7555
Entity
Organization
Contact information
Practice address
237 JERICHO TPKE, SYOSSET, NY 11791-4513
(516) 802-7555
(516) 802-7550
Mailing address
237 JERICHO TPKE, SYOSSET, NY 11791-4513
(516) 802-7555
(516) 802-7550
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
220299
NY
207RG0100X
Gastroenterology Physician
238095
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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