DR. NABIL KHORSHID KIRIDLY (NPI# 1205978301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205978301 |
| Entity Type | Individual |
| Full Name | DR. NABIL KHORSHID KIRIDLY |
| Credential | M.D. |
| Practice Address |
267 E Main St Bldg- B Smithtown NY 11787-2874 |
| Practice Telephone | 6313662220 |
| Practice Fax Number | 6313661018 |
| Mailing Telephone | 6313662220 |
| Mailing Fax Number | 6313661018 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
168297 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
267 E MAIN ST BLDG- B |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811932890 | Neena Chaudhari | Internal Medicine | 267 E Main St, Building A, Smithtown, NY 11787-2874 | 2006-06-17 |
| 1043719149 | Cynthia Prince | Social Worker | 267 E Main St, Smithtown, NY 11787-2874 | 2018-02-05 |
| 1427573138 | Allyson Marie Kornahrens | Nurse Practitioner | 267 E Main St, Smithtown, NY 11787-2874 | 2017-08-03 |
| 1083136683 | Keegan Baker, Lcsw, Pllc | Social Worker | 267 E Main St, Smithtown, NY 11787-2874 | 2017-07-14 |
| 1316499684 | Precision Medical Arts of New York Pllc | Specialist | 267 E Main St, Bldg B3, Smithtown, NY 11787-2874 | 2016-11-02 |
| 1205213683 | Erica Zeller | Social Worker | 267 E Main St, Suite 22b, Smithtown, NY 11787-2874 | 2015-05-05 |
| 1861886293 | Jml Psychotherapy | Community/Behavioral Health | 267 E Main St, Suite 22b, Smithtown, NY 11787-2874 | 2015-03-24 |
| 1467727412 | Raine Keegan Baker | Social Worker | 267 E Main St, Smithtown, NY 11787-2874 | 2012-03-08 |
| 1922239938 | The Marotta Center, Inc. | Clinic/Center | 267 E Main St, Building B, Smithtown, NY 11787-2874 | 2009-08-07 |
| 1124281258 | Mila Kote | Plastic Surgery | 267 E Main St, Bldg B3, Smithtown, NY 11787-2874 | 2008-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239590 | Rachel Susan Markow | Surgery | 229 7th St Ste 105, Garden City, NY 11530-5766 | 2019-08-08 |
| 1932614658 | Artesia Plastic Surgery, Pllc | Surgery | 6044 Main St Ste 106, Williamsville, NY 14221-6883 | 2017-12-04 |
| 1659882843 | Scott E Newman Md PC | Surgery | 1 Odell Plz Ste 277, Yonkers, NY 10701-1402 | 2017-10-16 |
| 1699181354 | Gynecology On Junction, P.C. | Surgery | 4023a Junction Blvd, Second Floor, Corona, NY 11368-2123 | 2014-07-02 |
| 1649683905 | Dr. Fugo Plastic Surgery, P.l.l.c. | Surgery | 92 Old Route 9w, Suite 100, New Windsor, NY 12553-5485 | 2014-06-04 |
| 1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
| 1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
| 1780941096 | Lauren B Shikowitz-behr | Surgery | 143 N Long Beach Rd Ste 4, Rockville Centre, NY 11570-4438 | 2012-04-12 |
| 1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
| 1093004640 | Joseph Andrew Ricci | Surgery | 1776 Eastchester Road, Division of Plastic Surgery, Second Floor, Bronx, NY 10461 | 2011-04-05 |
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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.