GREAT SOUTH BAY OTOLARYNGOLOGY PC (NPI# 1306996954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306996954 |
| Entity Type | Organization |
| Organization Name | GREAT SOUTH BAY OTOLARYNGOLOGY PC |
| Other Organization Name | GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON |
| Practice Address |
375 E Main St Suite 17 Bay Shore NY 11706-8418 |
| Practice Telephone | 6316652430 |
| Practice Fax Number | 6316652342 |
| Mailing Telephone | 6316652430 |
| Mailing Fax Number | 6316652342 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | DR. ROBERT GARGANO (PRESIDENT) |
| Authorized Official Telephone | 6316652430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gargano Bonafede Campbell ODonnell Bergson | Doing Business As Name - Organization |
| Street Address |
375 E MAIN ST SUITE 17 |
| 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 | 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.