Kevin H Small (NPI# 1043470834, PAC ID# 5991920886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1043470834 |
| PAC ID by PECOS | 5991920886 |
| Professional Enrollment ID | I20151006001953 |
| Full Name | Kevin H Small |
| Organization Legal Name | LONG ISLAND MINIMALLY INVASIVE SURGERY PC |
| Address |
125 Mineola Ave Suite 200 Roslyn Heights NY 11577-2042 |
| Phone Number | 5166165500 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 1658541347 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 | 5166165500 | LONG ISLAND MINIMALLY INVASIVE SURGERY PC |
| Organization Legal Name | LONG ISLAND MINIMALLY INVASIVE SURGERY PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Godshall | General Surgery | Long Island Minimally Invasive Surgery PC | 3795 Crompond Rd, Cortlandt Manor, NY 10567-7214 |
| Pankti R Patel | General Surgery | Long Island Minimally Invasive Surgery PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Nirav Desai | General Surgery | Long Island Minimally Invasive Surgery PC | 140 Sherman St, Fairfield, CT 06824-5849 |
| Wen-ting J Chiao | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Eva M Pilchman | Physician Assistant | Long Island Minimally Invasive Surgery PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Candice Chipman | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Samari Khalife | Physician Assistant | Long Island Minimally Invasive Surgery PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Eric A Sommer | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Emily I Rogan | Physician Assistant | Long Island Minimally Invasive Surgery PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Gregory James Schilero | Pulmonary Disease | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Street Address |
125 MINEOLA AVE SUITE 200 |
| City | ROSLYN HEIGHTS |
| State | NY |
| Zip | 11577-2042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wen-ting J Chiao | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Candice Chipman | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Eric A Sommer | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Gregory James Schilero | Pulmonary Disease | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| John Angstadt | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Spencer A Holover | General Surgery | Long Island Minimally Invasive Surgery PC | 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577-2042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meryl D Cohen | Physical Therapy | 189 Garden St, Roslyn Heights, NY 11577-1011 | |
| Marco Vezza | Internal Medicine | 4 Mineola Ave, Roslyn Heights, NY 11577-1091 | |
| Michael C Zagare | Physical Therapy | Go Physical Therapy and Wellness PC | 5 Edwards St, 1g Distinctive Home Physical Therapy, Roslyn Heights, NY 11577-1105 |
| David P Eckert | Psychologist, Clinical | 2 Willow St, Roslyn Heights, NY 11577-1204 | |
| Joan Wynn Flum | Clinical Social Worker | 100 Carlyle Pl, Roslyn Heights, NY 11577-1206 | |
| Diana Apuzzo-nichter | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia LLP | 66 Powerhouse Rd, Suite 3, Roslyn Heights, NY 11577-1372 |
| Grace M Santamaria | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia LLP | 66 Powerhouse Rd, Suite 3, Roslyn Heights, NY 11577-1372 |
| Stanley C Goldklang | Psychologist, Clinical | 60 Glenwood Ln, Roslyn Heights, NY 11577-1411 | |
| Amy L Rosenstein | Clinical Social Worker | 250 Locust Ln, Roslyn Heights, NY 11577-1413 | |
| Dale Mendell | Psychologist, Clinical | 102 Overlook Ter, Roslyn Heights, NY 11577-1438 | |
| Find all physicians in zip 11577 | |||
| City | ROSLYN HEIGHTS |
| Zip Code | 11577 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | ROSLYN HEIGHTS + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.