Anthony Italiano (NPI# 1598728354, PAC ID# 9638197445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1598728354 |
| PAC ID by PECOS | 9638197445 |
| Professional Enrollment ID | I20051109000920 |
| Full Name | Anthony Italiano |
| Organization Legal Name | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| Address |
13625 37th Ave Flushing NY 11354-4169 |
| Phone Number | 7184281500 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5395732671 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330055 | NEW YORK-PRESBYTERIAN/QUEENS |
| Address | Phone | Organization |
|---|---|---|
| 13625 37th Ave, Flushing, NY 11354-4169 | 7184281500 | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 | 7184281500 | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| 5645 Main St, Flushing, NY 11355-5045 | 7184281500 | RADIOLOGY OF MAIN STREET PC |
| 7206 Northern Blvd, Jackson Heights, NY 11372-1049 | 7184281500 | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| 5 Caren Ct, Syosset, NY 11791-2143 | 7184281500 | RADIOLOGY OF MAIN STREET PC |
| Organization Legal Name | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory Byrns | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 16625 Powells Cove Blvd, Apt 21h, Beechhurst, NY 11357-1528 |
| Mrugank Shukla | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Mohammed B Shaikh | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 2 Robbins Dr, East Williston, NY 11596-2008 |
| Iakovos Koutras | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 12 Pintail Ln, Greenwich, CT 06830-6722 |
| Jeffrey C Lee | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 11 Hemlock Rise, Armonk, NY 10504-3000 |
| Kornylo D Chorny | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 211 Midland Ave, Rye, NY 10580-3834 |
| Heather I Frimmer | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 11 Whitewood Hollow Ct, Ridgefield, CT 06877-3405 |
| Richard Aaron Marshall | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| John P Derosa | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Neil Thayil | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Street Address |
13625 37TH AVE |
| City | FLUSHING |
| State | NY |
| Zip | 11354-4169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guido Volcovici | Internal Medicine | 11915 27th Ave, Flushing, NY 11354-1011 | |
| Henny Reiser | Clinical Social Worker | Alan Winder Psychological Services PC | 11915 27th Ave, Flushing, NY 11354-1011 |
| Subramoniam Madhusoodanan | Psychiatry | 11915 27th Ave, Flushing, NY 11354-1011 | |
| Iyabo A Onifade | Nurse Practitioner | Clear Choice Medical PC | 11909 26th Ave, Flushing, NY 11354-1022 |
| Areeba Ahmed | Podiatry | Eastern Podiatry Pllc | 11909 26th Ave, Flushing, NY 11354-1022 |
| Charles A Kattan | Podiatry | Eastern Podiatry Pllc | 11909 26th Ave, Flushing, NY 11354-1022 |
| Mariyam Abbasi | Podiatry | Eastern Podiatry Pllc | 11909 26th Ave, Flushing, NY 11354-1022 |
| Norbert Shtaynberg | Nephrology | American Access Care Physician Pllc | 11919 Graham Ct, Flushing, NY 11354-1047 |
| Eugene Becker | Psychiatry | 11919 Graham Ct, Flushing, NY 11354-1096 | |
| Louis Ludovic Peralte | General Practice | 14420 29th Ave, Flushing, NY 11354-1331 | |
| Find all physicians in zip 11354 | |||
| City | FLUSHING |
| Zip Code | 11354 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FLUSHING + DIAGNOSTIC RADIOLOGY |
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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.