GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC


Address: 300 Old Country Rd, Suite 201, Mineola, NY 11501
Phone: 5167474406

GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC (NPI# 1154546653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154546653
Entity Type Organization
Organization Name GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC
Practice Address 300 Old Country Rd
Suite 201
Mineola
NY 11501
Mailing Address 375 N Broadway
Suite Ll2
Jericho
NY 11753
Practice Telephone 5167474406
Practice Fax Number 5167474456
Enumeration Date 2007-04-17
Last Update Date 2020-08-22
Authorized Official Name TERRY SPECTUR (ADMINISTRATOR)
Authorized Official Telephone 5164335018
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
NY Allopathic & Osteopathic Physicians

Office Location

Street Address 300 OLD COUNTRY RD
SUITE 201
City MINEOLA
State NY
Zip Code 11501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255339834 Madhu Korrapati Internal Medicine 300 Old Country Rd, Suite 111, Mineola, NY 11501-4198 2005-07-08
1548792427 Barbara Ann Feldman Genetic Counselor, MS 300 Old Country Rd, Suite 202, Mineola, NY 11501-4198 2017-03-30
1649651498 Winthrop Community Medical Affiliates, P.C. Surgery 300 Old Country Rd, Suite 101, Mineola, NY 11501-4198 2015-06-17
1548566342 North Shore Retina Physician, Pllc Ophthalmology 300 Old Country Rd, Suite Gl 51, Mineola, NY 11501-4198 2011-01-27
1972839546 Jean Ruvel Dietitian, Registered 300 Old Country Rd, Suite 202, Mineola, NY 11501-4198 2009-11-02
1659516284 Samuel Kenan,md.,p.c Specialist 300 Old Country Rd, Suite221, Mineola, NY 11501-4198 2008-12-11
1346401205 Vita Mia Cucchiara Family Medicine 300 Old Country Rd, Suite 211, Mineola, NY 11501-4198 2008-06-23
1992974315 Jennalynn Campos Physician Assistant 300 Old Country Rd, Mineola, NY 11501-4198 2008-02-29
1871788703 David S Shin Surgery 300 Old Country Rd, Suite 101, Mineola, NY 11501-4112 2007-09-13
1588872113 Nassau Sports Physical Therapy Specialist 300 Old Country Rd, Suite 191, Mineola, NY 11501-4198 2007-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710500350 Steve Abraham Simon Student in an Organized Health Care Education/Training Program 222 Station Plaza, Suite 509, Mineola, NY 11501 2020-05-18
1407478167 Frederick Milton Bosoy Student in an Organized Health Care Education/Training Program 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 2020-05-15
1982226130 Katelyn Anne Fowler Counselor [email protected], 410 East Jericho Tpke, Mineola, NY 11501 2020-05-11
1225667819 New York Dialysis Services, Inc Clinic/Center 1 East Jericho Turnpike, Mineola, NY 11501 2020-04-06
1518500032 Irina Victoria Kushnareva Social Worker 126 Saville Rd, Mineola, NY 11501 2019-10-28
1861046336 Milagros M Matias Case Manager/Care Coordinator 39 E. Jericho Turnpike, Mineola, NY 11501 2019-08-01
1154974244 Bahram Dabiri Student in an Organized Health Care Education/Training Program 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 2019-07-18
1972168748 Nabeel A. Arain Physician Assistant 251 1st St., Mineola, NY 11501 2019-05-07
1598328940 Ramsha Jabbar Student in an Organized Health Care Education/Training Program 222 Station Plaza North, Suite 305, Mineola, NY 11501 2019-04-20
1235628850 Valentyna Erstenyuk Student in an Organized Health Care Education/Training Program 222 Station Plaza N, Suite 611, Mineola, NY 11501 2018-05-09
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144370537 Matthew S Traugott Obstetrics & Gynecology 233 Willis Ave, Mineola, NY 11501-2432 2007-01-10
1386890093 All About Women Gynecology, P.C. Obstetrics & Gynecology 200 Old Country Rd, Suite 650, Mineola, NY 11501-4235 2008-08-13
1689894685 Ira J Spector Obstetrics & Gynecology 300 Old Country Rd, Mineola, NY 11501-4198 2007-05-01
1780734178 John J Biordi Obstetrics & Gynecology 233 Willis Ave, Mineola, NY 11501-2432 2007-01-10
1265501381 Anne Niesenbaum Obstetrics & Gynecology 135 Mineola Blvd, Mineola, NY 11501-3917 2006-11-06
1699844761 Michael Sher Obstetrics & Gynecology 135 Mineola Blvd, Mineola, NY 11501-3917 2006-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598370975 Legacy Gynecology Pllc Obstetrics & Gynecology 136 Maple Rd, Amherst, NY 14221-2922 2020-09-11
1700494143 Neighborhood Family Medicine Obstetrics & Gynecology 50 Front St, Binghamton, NY 13905-4708 2020-07-22
1467070029 Electra Health Medical PC Obstetrics & Gynecology 335 Madison Ave Fl 3, New York, NY 10017-4616 2020-07-10
1164048021 Park East Medical Pllc Obstetrics & Gynecology 870 5th Ave Apt 1b, New York, NY 10065-4907 2020-06-17
1497391486 Central Park Gyn Obstetrics & Gynecology 233 W 58th Street, New York, NY 10019 2019-11-25
1861955858 New H Medical, P.C. Obstetrics & Gynecology 1150 Park Ave Ste 1a, New York, NY 10128-1244 2019-04-08
1851857379 Broadway Gyn Office, P.c Obstetrics & Gynecology 4915 Broadway # 1-k, New York, NY 10034-3119 2019-02-20
1841755063 Elizabeth Anne Mancuso Obstetrics & Gynecology 3 E 69th St, New York, NY 10021-5249 2019-02-01
1699239251 Gynecology and Integrative Women's Care Obstetrics & Gynecology 30 E 23rd St Fl 7, New York, NY 10010-4440 2019-01-29
1699248542 Great Wall Medical, P.C. Obstetrics & Gynecology 201e 28th Street, Suite #1b, New York, NY 10016 2019-01-03
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City MINEOLA
Zip Code 11501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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