EDWARDO M YAMBO MD PC (NPI# 1194829754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194829754 |
| Entity Type | Organization |
| Organization Name | EDWARDO M YAMBO MD PC |
| Practice Address |
41 Brentwood Rd Bay Shore NY 11706 |
| Mailing Address |
41 Brentwood Rd Bay Shore NY 11706-6923 |
| Practice Telephone | 6319680800 |
| Practice Fax Number | 6316650816 |
| Mailing Telephone | 6319680800 |
| Mailing Fax Number | 3166508166 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | EDWARDO MARTH YAMBO (OWNER) |
| Authorized Official Telephone | 6319680800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1962591271 | 01 |
| NPI | 1164480414 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 East Industry Court, Deer Park, NY 117294728 | 6316670222 | 6316670223 |
| Street Address |
41 BRENTWOOD RD |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407932684 | Bay Shore Ob Gyn Group PC | Obstetrics & Gynecology | 41 Brentwood Rd, Bay Shore, NY 11706-6923 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720613433 | Cathryn Mcneely | Family Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-03-03 |
| 1790299584 | Joanira Peixoto | Family Medicine | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2017-12-01 |
| 1487737516 | Raymond Rocco Magliulo | Family Medicine | 245 W Main St, Bay Shore, NY 11706-8323 | 2006-10-23 |
| 1528141652 | Diane Hilde Magliulo | Family Medicine | 245 W Main St, Bay Shore, NY 11706-8323 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220677 | Ellen Mcstravick | Family Medicine | 5530 Sheridan Dr Ste 2, Williamsville, NY 14221-3730 | 2020-09-18 |
| 1598384489 | Jimmy Gelin | Family Medicine | 18639 140th Ave, Springfield Gardens, NY 11413-2617 | 2020-04-11 |
| 1871145011 | Prince Aboagye Dankwah | Family Medicine | 157 Barnes Rd, Washingtonville, NY 10992-1931 | 2019-07-09 |
| 1194206441 | Madison Physician Practice PC | Family Medicine | 983 Park Ave # 1d, New York, NY 10028-0808 | 2018-08-24 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1609380617 | Donna Yu | Family Medicine | 6402 8th Ave Ste 301, Brooklyn, NY 11220-4720 | 2017-11-29 |
| 1720591688 | Jane S Ferraina | Family Medicine | 259 Boughton Hill Rd, Honeoye Falls, NY 14472-9706 | 2017-11-14 |
| 1245750918 | Long Island Nurse Practitioners | Family Medicine | 97 Ronni Dr, East Meadow, NY 11554-1330 | 2017-06-23 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1043762404 | Ji Medical Group PC | Family Medicine | 3825 Parsons Blvd, Ste 1g, Flushing, NY 11354-5837 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
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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.