FRIENDLY MEDICAL GROUP PC (NPI# 1801251814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801251814 |
| Entity Type | Organization |
| Organization Name | FRIENDLY MEDICAL GROUP PC |
| Practice Address |
207 Hallock Road Stony Brook NY 11790 |
| Practice Telephone | 6316896226 |
| Practice Fax Number | 6316750736 |
| Mailing Telephone | 6316896226 |
| Mailing Fax Number | 6316750736 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | MRS. ROSANNA TEDESCO (BILLING MANAGER) |
| Authorized Official Telephone | 6316896226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 462504 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 154768 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 60275504 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | 248234 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
207 HALLOCK ROAD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417097247 | Carol Harriet Sprafkin | Psychologist | 207 Hallock Road, Suite 204, Stony Brook, NY 11790 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1982136867 | Edgar Enrique Flores | Pediatrics | Stony Brook University Hospital Department, Hsc T-11 / 040, Stony Brook, NY 11794-8111 | 2017-03-30 |
| 1235591561 | Denisse Reyes | Pediatrics | Stony Brook Medicine Department Of, Hsc T-11, Room 040, Stony Brook, NY 11794-8111 | 2016-03-25 |
| 1528487675 | Kevin Louie | Pediatrics | Stony Brook University Hospital 101 Nicolls Road, Stony Brook, NY 11794 | 2014-04-15 |
| 1881013878 | Candice Maietti Foy | Pediatrics | 100 Nicolls Rd # Level11n, Stony Brook, NY 11794-1559 | 2014-04-07 |
| 1053754705 | Stephanie Kyc | Pediatrics | 101 Nicolls Rd # T11-060, Stony Brook, NY 11794 | 2013-04-12 |
| 1811256258 | William Mak | Pediatrics | Suny At Stony Brook Department of Pediatrics, Hsc T-11 / 040, Stony Brook, NY 11794-8111 | 2012-05-04 |
| 1073808614 | Uchechi Ifeoma Oddiri | Pediatrics | Hsc T11 Rm 020, Stony Brook, NY 11794-1425 | 2011-06-11 |
| 1154553550 | Taly Glaubach | Pediatrics | Dept of Pediatrics Hsc T11 060, Stony Brook Children's Hospital, Stony Brook, NY 11794-8111 | 2009-08-18 |
| 1386871200 | Kathleen Ellen Walsh-spoonhower | Pediatrics | Stony Brook Childrens Services Ufpc, Hsc T11 Room 040, Stony Brook, NY 11794-8111 | 2009-06-18 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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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.