DR. GREGORY S WISDOM (NPI# 1184624371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184624371 |
| Entity Type | Individual |
| Full Name | DR. GREGORY S WISDOM |
| Credential | M.D. |
| Practice Address |
111 Bedford Rd Caremount Medical, PC Katonah NY 10536-2115 |
| Mailing Address |
110 N Bedford Rd Caremount Medical, PC Mount Kisco NY 10549 |
| Practice Telephone | 9142411050 |
| Practice Fax Number | 9142327588 |
| Mailing Telephone | 9142411050 |
| Mailing Fax Number | 9142327588 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 201012 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01873656 | 05 |
| Street Address |
111 BEDFORD RD CAREMOUNT MEDICAL, PC |
| City | KATONAH |
| State | NY |
| Zip Code | 10536-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447971 | Scott Gottesfeld | Internal Medicine | 111 Bedford Rd, Care Mount Medical PC, Katonah, NY 10536-2115 | 2005-06-20 |
| 1053964239 | Colleen Elizabeth Spang | Nurse Practitioner | 111 Bedford Rd, Katonah, NY 10536-2115 | 2019-07-17 |
| 1902046972 | Yafit Partouche | Obstetrics & Gynecology | 111 Bedford Rd, Katonah, NY 10536-2115 | 2009-03-03 |
| 1407009582 | Rosemary K. Landolfi | Nurse Practitioner | 111 Bedford Rd, Katonah, NY 10536-2115 | 2008-11-03 |
| 1891958856 | William Daniel Losquadro | Otolaryngology | 111 Bedford Rd, Care Mount Medical PC, Katonah, NY 10536-2115 | 2008-07-09 |
| 1790904878 | Mount Kisco Medical Group PC | Internal Medicine | 111 Bedford Rd, Katonah, NY 10536 | 2007-04-25 |
| 1356405252 | Ayelet Mizrachi-jonisch | Dermatology | 111 Bedford Rd, Katonah, NY 10536-2115 | 2006-12-22 |
| 1972678555 | Adam Ozols | Internal Medicine | 111 Bedford Rd, Katonah, NY 10536-2115 | 2006-11-21 |
| 1437231123 | Louis A Corsaro | Pediatrics | 111 Bedford Rd, Mount Kisco Medical Group PC, Katonah, NY 10536 | 2006-10-20 |
| 1881776581 | Matthew P Howard | Internal Medicine | 111 Bedford Rd, Care Mount Medical PC, Katonah, NY 10536-2115 | 2006-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538728951 | Stana-lea Weisburd | Registered Nurse | 2875 Route 35, Katonah, NY 10536 | 2019-06-10 |
| 1275011967 | Melissa Mcewan | Nurse Practitioner | Four Winds Hospital, 800 Cross River Rd, Katonah, NY 10536 | 2018-08-03 |
| 1205322864 | Inna Rabinowitz | Case Manager/Care Coordinator | 16 Mt Holly Rd E, Katonah, NY 10536 | 2018-07-07 |
| 1194253633 | Corinne Elissa Viscomi | Speech-Language Pathologist | 190 Goldens Bridge Rd Ste 5, Katonah, NY 10536 | 2017-05-29 |
| 1861740466 | Antoinette Pennino | Speech-Language Pathologist | 698 Cross River Road, Katonah, NY 10536 | 2012-08-29 |
| 1033498530 | Marlene Carneiro | Dietitian, Registered | 113 Whitlockville Rd, Katonah, NY 10536 | 2011-08-15 |
| 1851561427 | Martin Samuel Lipton | Internal Medicine | 10 North Lane, Katonah, NY 10536 | 2008-03-10 |
| 1790990729 | Rituparna Pati | Internal Medicine | 9 Logging Rd, Katonah, NY 10536 | 2007-05-12 |
| 1023220738 | Donald Edward Kalsched | Psychologist | 23 Parkway St, 3-a, Katonah, NY 10536 | 2007-05-04 |
| 1710199914 | Ethelvida Ciccone | Physical Therapist | 17 Primrose St, Katonah, NY 10536 | 2007-05-03 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766361 | Ali Agarabi | Otolaryngology | 675 Westview Dr, Mattituck, NY 11952-2963 | 2020-03-26 |
| 1932739281 | Ear Nose & Throat Medical Services of New York, Pllc | Otolaryngology | 8 Quaker Ridge Rd, Glen Head, NY 11545-3326 | 2020-01-24 |
| 1669002283 | Robert I Kaplan Md Pllc | Otolaryngology | 1524 Route 9 Ste 2, Halfmoon, NY 12065-8646 | 2020-01-23 |
| 1154965648 | B Thuy Le Md P C | Otolaryngology | 589 Broadway Fl 2, New York, NY 10012-3231 | 2019-10-29 |
| 1659938959 | Tony Richa | Otolaryngology | Elm and Carlton Streets Head and Neck Surgical Oncology, Buffalo, NY 14263-0001 | 2019-05-22 |
| 1003372632 | Nancy King Md Pllc | Otolaryngology | 128 Mott St Ste 608, New York, NY 10013-5589 | 2019-02-19 |
| 1265919179 | Rian Rosen | Otolaryngology | 420 Madison Ave Rm 503, New York, NY 10017-1175 | 2018-07-24 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1003308172 | Greater Buffalo Ent | Otolaryngology | 3950 E Robinson Rd Ste 106, Amherst, NY 14228-2042 | 2018-06-04 |
| 1184141798 | Ofer Azoulay | Otolaryngology | 185 Montague St Fl 5, Brooklyn, NY 11201-3608 | 2017-08-24 |
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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.