Gold Coast Medical P C

NPI #1962752527 in Syosset, New York

Provider Information

NPI Number: 1962752527
Entity Type: Organization
Organization Name: Gold Coast Medical P C
Primary Specialty: Anesthesiology
Enumeration Date: Sep 11, 2012
Last Updated: May 14, 2014

Practice Location

Address: 237 JERICHO TURNPIKE
City: Syosset
State: New York
ZIP Code: 11791-4513
Phone: (516) 584-6400

Authorized Official

Name: KOSTAS SIDERIDIS, D.O.
Title: OWNER
Phone: (516) 584-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Anesthesiology	207L00000X	Primary

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