CONEY ISLAND MEDICAL DIAGNOSTIC SERVICES P C (NPI# 1902436728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902436728 |
| Entity Type | Organization |
| Organization Name | CONEY ISLAND MEDICAL DIAGNOSTIC SERVICES P C |
| Practice Address |
1704 Mermaid Ave Ste 6 Brooklyn NY 11224-2622 |
| Mailing Address |
Po Box 86 Jericho NY 11753-0086 |
| Practice Telephone | 5165675410 |
| Mailing Telephone | 5165675410 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | DR. KONSTANTIN VAIZMAN (OWNER) |
| Authorized Official Telephone | 3474466839 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
1704 MERMAID AVE STE 6 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11224-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893121 | A Song of Ascents LLC. | Clinic/Center | 2526 Neptune Ave, Brooklyn, NY 11224 | 2019-01-01 |
| 1851805659 | Kare for Kids Inc. | Early Intervention Provider Agency | 445 Neptune Avenue, 17a, Brooklyn, NY 11224 | 2017-12-01 |
| 1972014884 | Ingrid Blumberg | Speech-Language Pathologist | 2929 West 30th Street, Brooklyn, NY 11224 | 2017-10-18 |
| 1598283723 | Natalie Misyuk | Registered Nurse | 2820 West 8th Street Apt 11-h, Brooklyn, NY 11224 | 2017-09-08 |
| 1811412356 | Lisa S Rudnitsky | Day Training, Developmentally Disabled Services | 445 Neptune Avenue, 12d, Brooklyn, NY 11224 | 2017-08-05 |
| 1568910339 | Lara Adedayo | Licensed Practical Nurse | 3022 W 22nd Street Apt2g, Brooklyn, NY 11224 | 2016-09-21 |
| 1033665336 | Galina Moiseyeva | Pharmacist | 2946 W23rd Ap6-n, Brooklyn, NY 11224 | 2016-08-28 |
| 1538615083 | Oceanview Adult Day Care | Clinic/Center | 2910 West 32nd Streer, 1st Floor, Brooklyn, NY 11224 | 2016-08-25 |
| 1235537143 | Nola Roxanne Moore | Licensed Practical Nurse | 2867 West 37th Street, Brooklyn, NY 11224 | 2014-12-09 |
| 1447651989 | Renata Vaysman | Psychologist | 2925 W 19th St, Brooklyn, NY 11224 | 2014-09-15 |
| Find all providers in zip 11224 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639605991 | New York Medical and Diagnostic Services PC | Pathology | 2315 86th St Fl 1, Brooklyn, NY 11214-4309 | 2017-05-05 |
| 1306037940 | Kesler Dalmacy | Pathology | 1671 New York Ave, Brooklyn, NY 11210-3366 | 2007-08-08 |
| 1801113659 | Debabrata Saha | Pathology | 506 Sixth Street, Newyork Methodist Hospital, Brooklyn, NY 11215-9008 | 2010-05-03 |
| 1255485611 | Andrew Henry Oliff | Pathology | 506 6th St, Brooklyn, NY 11215-3609 | 2007-01-23 |
| 1467552687 | Jenny M. Libien | Pathology | 450 Clarkson Ave, Box 25, Brooklyn, NY 11203-2056 | 2006-09-25 |
| 1285749416 | Linda Frances Rankin | Pathology | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2006-08-20 |
| 1447263447 | Savitri Birla | Pathology | 150 55th St, Brooklyn, NY 11220-2559 | 2006-08-14 |
| 1770569634 | Yong-doo Kim | Pathology | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649445 | Ben Bristol | Pathology | 424 Manville Rd Apt 2, Pleasantville, NY 10570-2848 | 2020-08-11 |
| 1548879802 | Vanguard Medical Services Pllc | Pathology | 233 Broadway Rm 2750, New York, NY 10279-2704 | 2020-07-23 |
| 1376164541 | Iftikhar Butt | Pathology | 17 Stablegate Dr, Clifton Park, NY 12065-6796 | 2020-04-29 |
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1821527680 | Gamaliel Immanuel Medical Services PC | Pathology | 230 Hilton Ave Ste 214, Hempstead, NY 11550-8116 | 2017-06-06 |
| 1902355415 | Jayne Elizabeth Kremzier | Pathology | 349 Reist St, Williamsville, NY 14221-5344 | 2016-09-26 |
| 1336509090 | Joseph C Segen | Pathology | 1 Hawthorne Ln, Manhasset, NY 11030-1505 | 2016-02-24 |
| 1386061133 | Lee J. Slavutin | Pathology | 100 Riverside Drive, Apt 15d, New York, NY 10024 | 2014-03-18 |
| 1497171706 | Armida Orozco | Pathology | 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 | 2014-03-11 |
| 1588080840 | George Richard Abbott | Pathology | 153 Hollyvale Dr, Rochester, NY 14618-2817 | 2014-03-11 |
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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.