GREAT NECK DERMATOLOGY, P.C. (NPI# 1922054980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922054980 |
| Entity Type | Organization |
| Organization Name | GREAT NECK DERMATOLOGY, P.C. |
| Practice Address |
233 E Shore Rd Suite 102 Great Neck NY 11023-2433 |
| Practice Telephone | 5167734500 |
| Mailing Telephone | 5167734500 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | MRS. BARBARA KACZOR (OFFICE MANAGER) |
| Authorized Official Telephone | 5167734500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 103820 | GA | Other Service Providers |
| Street Address |
233 E SHORE RD SUITE 102 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319152 | Louise Eileen Kaufmann | Specialist | 233 E Shore Rd, Suite 102, Great Neck, NY 11023-2433 | 2005-07-12 |
| 1790174100 | Shana Weinman | Dentist | 233 E Shore Rd, Suite 110, Great Neck, NY 11023-2436 | 2015-01-22 |
| 1023459021 | Bradley M Fischman | Durable Medical Equipment & Medical Supplies | 233 E Shore Rd, Suite 110, Great Neck, NY 11023-2436 | 2013-07-08 |
| 1457523615 | Alex Novogrudsky | Internal Medicine | 233 E Shore Rd, Suite 101, Great Neck, NY 11023-2433 | 2008-03-27 |
| 1750567046 | Jack Kohanzadeh | Dentist | 233 E Shore Rd, Suite # 107, Great Neck, NY 11023-2433 | 2008-01-16 |
| 1407982341 | Edwin Ginsberg | Dentist | 233 E Shore Rd, Suite 104, Great Neck, NY 11023-2433 | 2007-02-26 |
| 1447390406 | Denise Dimarco | Nurse Practitioner | 233 E Shore Rd, Suite 101, Great Neck, NY 11023-2433 | 2007-02-07 |
| 1437218450 | Shaheen Abdulrasul Khalfan | Physician Assistant | 233 E Shore Rd, Suite 101, Great Neck, NY 11023-2433 | 2006-12-06 |
| 1407922297 | Ellen Ida Kahn | Specialist | 233 E Shore Rd, Great Neck, NY 11023-2433 | 2006-11-26 |
| 1417039421 | Bradley M Fischman | Dentist | 233 E Shore Rd, Suite 110, Great Neck, NY 11023-2433 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| Find all providers in zip 11023 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326519083 | Nelida Barrera | Specialist | 9 Northern Blvd, Great Neck, NY 11021-4044 | 2018-12-06 |
| 1558831859 | Wen-ling Lee | Specialist | 1 E Mill Dr Apt 2a, Great Neck, NY 11021-4077 | 2018-11-29 |
| 1386110864 | Rebecca Abigail Soleimani | Specialist | 19 N Clover Dr, Great Neck, NY 11021-1013 | 2018-10-22 |
| 1285114827 | Joshua Hakimian | Specialist | 20 Hicks Ln, Great Neck, NY 11024-1937 | 2018-08-14 |
| 1982191144 | Milko Aminian | Specialist | 11 Woodbourne Rd, Great Neck, NY 11023-1318 | 2018-04-13 |
| 1104367176 | Jessica Lin | Specialist | 4515 Westminster Rd, Great Neck, NY 11020-1050 | 2017-03-10 |
| 1326582610 | Firoozeh Bandanzadeh | Specialist | 45 Ellard Ave, Great Neck, NY 11024-2036 | 2016-12-06 |
| 1851834451 | Allison Unger | Specialist | 14 Stoner Ave, Apartment 3j, Great Neck, NY 11021-2101 | 2016-11-30 |
| 1386190940 | Deborah Namdar | Specialist | 101 Hampshire Rd, Great Neck, NY 11023-1230 | 2016-09-01 |
| 1881064434 | Esther Lebto | Specialist | 10 Devon Rd, Great Neck, NY 11023-2317 | 2015-09-25 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
Please comment or provide details below to improve the information on GREAT NECK DERMATOLOGY, P.C..
| 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.