DR. MARINO MESIDOR


Address: 2094 Pitkin Ave, East New York D&tc, Brooklyn, NY 11207-3509
Phone: 7182400490

DR. MARINO MESIDOR (NPI# 1518943786) 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) 1518943786
Entity Type Individual
Full Name DR. MARINO MESIDOR
Credential M.D.
Practice Address 2094 Pitkin Ave
East New York D&tc
Brooklyn
NY 11207-3509
Mailing Address 170 Birchwood Park Dr
Jericho
NY 11753-2206
Practice Telephone 7182400490
Mailing Telephone 5168225109
Enumeration Date 2005-12-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 155000 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01758121 05

Office Location

Street Address 2094 PITKIN AVE
EAST NEW YORK D&TC
City BROOKLYN
State NY
Zip Code 11207-3509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770190076 Claudette Awer Nutritionist 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2020-09-30
1629685508 Lizette Bowen Counselor 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2020-09-25
1073171229 Anthony Iwe Kanu Pharmacist 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2019-06-03
1407339609 Aung M Oo Dental Hygienist 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2018-09-13
1588188775 Josephine Clarke Registered Nurse 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2017-07-28
1245760503 Hilma L Campbell Nurse Practitioner 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2017-06-19
1932555943 Emilie Powers O'neill Internal Medicine 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2016-05-09
1891194916 Lucey Cummins Social Worker 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2014-08-14
1316206659 Jane Lima-negron Social Worker 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2012-05-07
1720381262 Sharon Angella Graham-richards Registered Nurse 2094 Pitkin Ave, Brooklyn, NY 11207-3509 2010-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356817142 Tajeet Singh Licensed Practical Nurse 174 East 51, Brooklyn, NY 11207 2018-10-18
1801306147 Ebony Herring Counselor 2640 Pitkin Avenue, Brooklyn, NY 11207 2017-09-30
1780106153 Ivonne Perry Registered Nurse 35 Mc Clancy Pl, Brooklyn, NY 11207 2017-07-07
1548700925 Special Medical PC Family Medicine 699 B Stanley Avenue, Brooklyn, NY 11207 2017-03-03
1003368333 Alison Deborah Kahler Social Worker 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 2016-11-03
1942757836 Melissa Santana Counselor Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 2016-09-08
1871943050 Joan Murrell Licensed Practical Nurse 297 Bradford St, Brooklyn, NY 11207 2016-06-17
1386019321 Marta Josephine Jablonka I Peer Specialist 137 Dewitt Ave, Brooklyn, NY 11207 2015-12-02
1962877076 Uche Rosario Oboh Pharmacist Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 2015-12-01
1467837997 Dhalene Wharton Licensed Practical Nurse 540 Shefield Ave, Brooklyn, NY 11207 2015-07-27
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669099115 East New York Medical Healthcare PC Internal Medicine 2673 Atlantic Ave, Brooklyn, NY 11207-2801 2020-07-01
1083242978 Quratulain Nasir Internal Medicine 8301 Bay Pkwy Apt 603, Brooklyn, NY 11214-2692 2020-03-28
1831723725 Pitkin Medical Office P.C. Internal Medicine 1746 Pitkin Ave Fl 1, Brooklyn, NY 11212-6707 2020-02-28
1083246920 Dora Johnson Internal Medicine 374 Stockholm St # B, Brooklyn, NY 11237-4006 2020-02-09
1245876143 Richard Casseus Internal Medicine 6525 Avenue N, Brooklyn, NY 11234-5622 2019-11-26
1598309569 Md Care Now P.C. Internal Medicine 1849 Utica Ave, Brooklyn, NY 11234-2122 2019-11-03
1609410968 Zaki Nakach, Md PC Internal Medicine 1309 Avenue P Ste 1, Brooklyn, NY 11229-1184 2019-10-30
1881158897 Yuanli Xie Medical PC Internal Medicine 749 61st St Ste 403, Brooklyn, NY 11220-5163 2019-01-23
1689146417 Frederik Peter Lindberg Internal Medicine 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 2018-12-18
1598233033 Greenfield Medical Internal Medicine 1716 E 28th St, Brooklyn, NY 11229-2513 2018-11-02
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Competitor

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City BROOKLYN
Zip Code 11207

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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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