MICHAEL POLIDORO (NPI# 1043236375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043236375 |
| Entity Type | Individual |
| Full Name | MICHAEL POLIDORO |
| Credential | PA |
| Practice Address |
375 E Main St Ste 1 Bay Shore NY 11706-8418 |
| Practice Telephone | 6316658790 |
| Practice Fax Number | 6316651581 |
| Mailing Telephone | 6316658790 |
| Mailing Fax Number | 6316651581 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009063 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
375 E MAIN ST STE 1 |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154704138 | Amanda Neubauer | Audiologist | 375 E Main St, Suite 17 Entandallergy, Bay Shore, NY 11706-8418 | 2015-07-08 |
| 1407287873 | Adrian Arredondo | Physician Assistant | 375 E Main St, Suite 1, Bay Shore, NY 11706-8418 | 2013-12-10 |
| 1861821621 | Molly Folger | Audiologist | 375 E Main St, Suite 9, Bay Shore, NY 11706-8418 | 2013-11-02 |
| 1962745091 | Island Shore Physical Therapy LLP | Physical Therapist | 375 E Main St, Bay Shore, NY 11706-8418 | 2013-03-27 |
| 1417291881 | Jeanine Pena | Acupuncturist | 375 E Main St, Suite 4, Bay Shore, NY 11706-8418 | 2012-11-25 |
| 1538475314 | Medical Arts Obstetrics and Gynecology PC | Obstetrics & Gynecology | 375 E Main St, Suite 4, Bay Shore, NY 11706-8496 | 2010-08-31 |
| 1942484423 | Suffolk Orthopaedic Associates PC | Physical Medicine & Rehabilitation | 375 E Main St, Ste 1, Bay Shore, NY 11706-8418 | 2007-12-20 |
| 1700083763 | Mershad Hagigi | Radiology | 375 E Main St, Suite 12, Bay Shore, NY 11706 | 2007-07-02 |
| 1538284849 | Hafiz Ur Rehman | Pediatrics | 375 E Main St, Suite 7, Bay Shore, NY 11706-8418 | 2007-03-20 |
| 1831236256 | Adrienne Manzella | Audiologist | 375 E Main St, Bay Shore, NY 11706-8418 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488218 | Mehul Shah | Physician Assistant | 75 Smith Ave, Bay Shore, NY 11706-7380 | 2019-10-11 |
| 1922655653 | Nicole V Balladares | Physician Assistant | 8 W Shore Rd, Bay Shore, NY 11706-8211 | 2019-08-19 |
| 1578980702 | Janet Totari | Physician Assistant | 603b E Main St, Bay Shore, NY 11706-8505 | 2014-03-26 |
| 1720350671 | Stacy Lynn Felicetta | Physician Assistant | 38 E Main St # 40, Bay Shore, NY 11706-8329 | 2012-02-07 |
| 1700110236 | Seraphine T Mohlie | Physician Assistant | 7 Penataquit Ave Apt 2d, Bay Shore, NY 11706-8040 | 2009-09-30 |
| 1578649505 | Ordith L Coleman | Physician Assistant | 37 Belford Ave, Bay Shore, NY 11706-6818 | 2006-10-31 |
| 1699866566 | Jenine M Cortes | Physician Assistant | 301 E Main Street, Bay Shore, NY 11706 | 2006-09-27 |
| 1780296913 | Chelsea Jensen | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-08-19 |
| 1780200709 | Valerie Brooke Matedero | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-06-25 |
| 1548890445 | Bartlomiej Stepien | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-01-19 |
| Find all providers in BAY SHORE | ||||
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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.