SOUND GYNECOLOGIC ONCOLOGY, PLLC (NPI# 1528253929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528253929 |
Entity Type | Organization |
Organization Name | SOUND GYNECOLOGIC ONCOLOGY, PLLC |
Practice Address |
13400 Main Rd Mattituck NY 11952-3209 |
Mailing Address |
13400 Main Rd Po Box 1619 Mattituck NY 11952-3209 |
Practice Telephone | 6312984655 |
Practice Fax Number | 6312985969 |
Mailing Telephone | 6312984655 |
Mailing Fax Number | 6312985969 |
Enumeration Date | 2007-09-09 |
Last Update Date | 2007-09-09 |
Authorized Official Name | DR. BEVERLY HANNAH ORTIZ (PHYSICIAN) |
Authorized Official Telephone | 6312984655 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
199062 | NY | Ambulatory Health Care Facilities |
Street Address |
13400 MAIN RD |
City | MATTITUCK |
State | NY |
Zip Code | 11952-3209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669466363 | John Impellizeri | Internal Medicine | 13400 Main Rd, Mattituck, NY 11952-3209 | 2005-09-08 |
1487620613 | Peconic Bay Primary Medical Care, PC | Internal Medicine | 13400 Main Rd, Mattituck, NY 11952-3209 | 2006-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235540352 | Antoinette Plocek Notaro Md PC | Clinic/Center | 13405 Main Road, Mattituck, NY 11952 | 2014-05-12 |
1124391123 | Richard A Relyea | Registered Nurse | 575 Westview Drive, Mattituck, NY 11952 | 2012-02-22 |
1336311877 | Kristin Donato | Pharmacist | 195 Main Road, Mattituck, NY 11952 | 2008-03-25 |
1598941429 | Louis Melissari | Pharmacist | 195 Main Rd., Mattituck, NY 11952 | 2008-01-10 |
1679757827 | Elizabeth Vaccaro | Pharmacist | 195 Main Rd, Mattituck, NY 11952 | 2007-12-24 |
1396946844 | North Fork Orthopaedic and Sports Medicine Pllc | Orthopaedic Surgery | 55 Sound Avenue, Mattituck, NY 11952 | 2007-05-31 |
1437369196 | Viola Quintero | Social Worker | 11700 Main Rd, Mattituck, NY 11952 | 2007-05-23 |
1881804433 | Gary Klemons | Dentist | 7905 Main Road, Mattituck, NY 11952 | 2007-05-23 |
1336264092 | Jeanine Marie Warns | Social Worker | 13235 Main Rd, Mattituck, NY 11952 | 2007-03-20 |
1548306103 | Caroline Valenta Gatewood | Psychiatry & Neurology | 7555 Main Rd., Mattituck, NY 11952 | 2007-01-30 |
Find all providers in zip 11952 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235540352 | Antoinette Plocek Notaro Md PC | Clinic/Center | 13405 Main Road, Mattituck, NY 11952 | 2014-05-12 |
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1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
1174178396 | Instant Care Np In Family Health | Clinic/Center | 89 Tennyson Dr, Nanuet, NY 10954-1039 | 2019-08-05 |
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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.