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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
NY | Allopathic & Osteopathic Physicians |
Street Address |
300 OLD COUNTRY RD SUITE 201 |
City | MINEOLA |
State | NY |
Zip Code | 11501 |
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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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 Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
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 |
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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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.