DR. GEORGE ANDREW POULOS (NPI# 1548469091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548469091 |
Entity Type | Individual |
Full Name | DR. GEORGE ANDREW POULOS |
Credential | D.O. |
Practice Address |
2929 Expressway Dr N Islandia NY 11749-5306 |
Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
Practice Telephone | 6316652430 |
Practice Fax Number | 6316652342 |
Mailing Telephone | 9149842546 |
Enumeration Date | 2007-07-15 |
Last Update Date | 2019-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
269641-1 | NY | Allopathic & Osteopathic Physicians |
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
269641-1 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215109103 | George William Poulos | Radiology | 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302-3308 | 2008-03-31 |
1356380430 | George D Poulos | Optometrist | 122 Southpark Ctr, Strongsville, OH 44136-9316 | 2006-06-05 |
Street Address |
2929 EXPRESSWAY DR N |
City | ISLANDIA |
State | NY |
Zip Code | 11749-5306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720059553 | Todd W. Campbell | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2006-01-30 |
1558883777 | Jessica Lynn Barczik | Audiologist | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2017-07-10 |
1760893424 | Anthony Alessi | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2014-05-15 |
1164747333 | Laura Helfner | Allergy & Immunology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2010-03-31 |
1154591022 | Anna Stern | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2008-03-07 |
1306932603 | Edward J Lipinsky | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2006-10-05 |
1255425849 | Ron D Gottlieb | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2006-10-03 |
1063483709 | Robert M Gargano | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2006-01-31 |
1821069469 | Thomas R O'donnell | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2006-01-31 |
1821069568 | Joseph P Bonafede | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2006-01-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
1184041030 | Sarah Tran | Obstetrics & Gynecology | 3001 Expressway Dr N Ste 116, Islandia, NY 11749 | 2014-03-27 |
1275966913 | Viney Mathews | Counselor | 208 Towne House Village, Islandia, NY 11749 | 2013-08-16 |
1295170223 | Lawrence Allen Weinberg | Dentist | 68 Sutton Pl, Islandia, NY 11749 | 2013-05-03 |
1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
1104189554 | Stacey B Ratner | Specialist | 1737 Veterans Memorial Hwy, Islandia, NY 11749 | 2012-06-20 |
1851665111 | Fashion Arcade Optics, Inc | Technician/Technologist | 1744 Veneran's Memorial Hwy, Islandia, NY 11749 | 2012-03-05 |
1689964132 | Maggie Jean Fils Inc | Physical Therapy Assistant | 84 Salebrush Lane, Islandia, NY 11749 | 2011-04-18 |
1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
1912103086 | Jaime Patricia Spencer | Occupational Therapist | 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749 | 2007-06-25 |
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Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093328874 | Conall Fitzgerald | Otolaryngology | 1275 York Ave Dept Head, New York, NY 10065-6007 | 2020-08-31 |
1609484492 | Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional Co | Otolaryngology | 400 East 20th Street Ste 3f, New York, NY 10009 | 2020-07-17 |
1154838977 | Manhattan Canal Medical, P.C. | Otolaryngology | 202 Canal St Ste 602, New York, NY 10013-4517 | 2018-01-02 |
1437538881 | Jacob Ibrook Tower | Otolaryngology | 130 East 77th Street Black Hall Building 10th Floor, New York, NY 10075 | 2015-05-19 |
1982808614 | Rebecca E Fraioli | Otolaryngology | 3400 Bainbridge Ave, Map 3, Montefiore Medical Center, Dept of Otolaryngology - Hns, Bronx, NY 10467 | 2007-06-14 |
1043429483 | David O Volpi | Otolaryngology | 262 Central Park W # 1h, New York, NY 10024-3512 | 2007-05-22 |
1487877817 | Western New York Ear, Nose & Throat, P.C. | Otolaryngology | 3670 South Benzing, Suite C, Orchard Park, NY 14127 | 2007-04-11 |
1821157751 | Jennifer M Levine | Otolaryngology | 240 E 79th St, New York, NY 10075-1257 | 2006-12-06 |
1104913185 | William Marshall Portnoy | Otolaryngology | 160 W 18th St, Ground Floor, New York, NY 10011-5403 | 2006-10-09 |
1609821297 | Boris Chernobilsky | Otolaryngology | 240 E 38th St Fl 14, New York, NY 10016 | 2006-05-23 |
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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.