Organization
GOLD COAST MEDICAL P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOSTAS SIDERIDIS D.O. (OWNER)
(516) 584-6400
Entity
Organization
Contact information
Practice address
237 JERICHO TURNPIKE, SYOSSET, NY 11791-4513
(516) 584-6400
(516) 584-6401
Mailing address
P O BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
220299
NY
207RG0100X
Gastroenterology Physician
—
NY
Other
Enumeration date
09/11/2012
Last updated
05/14/2014
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