MEDICAL SERRVICES OF LYNBROOK PC (NPI# 1437782778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437782778 |
| Entity Type | Organization |
| Organization Name | MEDICAL SERRVICES OF LYNBROOK PC |
| Practice Address |
1101 Stewart Ave Ste 100 Garden City NY 11530-4833 |
| Practice Telephone | 5165030646 |
| Practice Fax Number | 8882895601 |
| Mailing Telephone | 5165030646 |
| Mailing Fax Number | 8882895601 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | CRAIG TKACSIK (VP) |
| Authorized Official Telephone | 5165030646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Medical Services of Lynbrook | Doing Business As Name - Organization |
| Street Address |
1101 STEWART AVE STE 100 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040564 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1101 Stewart Ave Ste 100, Garden City, NY 11530-4833 | 2020-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092005 | Justin Ian Shmuel | Specialist/Technologist, Other | 300 Knollwood Rd, White Plains, NY 10607-1217 | 2020-01-23 |
| 1881242527 | Amy Cohen | Specialist/Technologist, Other | 7 Linda Dr, Suffern, NY 10901-3003 | 2019-08-27 |
| 1336793520 | Deven Coons | Specialist/Technologist, Other | 32 Spring Creek Dr Apt 304, Pleasant Valley, NY 12569-5738 | 2019-07-26 |
| 1235790015 | Nassau Spine Technical LLC | Specialist/Technologist, Other | 2594 8th Ave, East Meadow, NY 11554-3253 | 2019-06-24 |
| 1710545447 | Value Monitoring, LLC | Specialist/Technologist, Other | 911 Central Ave Ste 24, Albany, NY 12206-1304 | 2019-05-29 |
| 1437618121 | Sara Gabriele Mermelstein | Specialist/Technologist, Other | 140 Adams Ave Ste B14, Hauppauge, NY 11788-3618 | 2019-03-13 |
| 1275009045 | Albina Geleta | Specialist/Technologist, Other | 140 Adams Ave Ste B13, Hauppauge, NY 11788-3618 | 2018-10-19 |
| 1255839973 | Ali Rodriguez | Specialist/Technologist, Other | 6 Barnside Ln, Glen Head, NY 11545-2732 | 2018-01-29 |
| 1831574250 | Neuro Alert Services LLC | Specialist/Technologist, Other | 399 Knollwood Rd Ste 108, White Plains, NY 10603-1916 | 2015-07-27 |
| 1871972679 | Allison Smith | Specialist/Technologist, Other | 399 Knollwood Rd, Suite 108, White Plains, NY 10603-1916 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on MEDICAL SERRVICES OF LYNBROOK PC.
| 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.