ILLYA KEITH MAHER (NPI# 1376966432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376966432 |
| Entity Type | Individual |
| Full Name | ILLYA KEITH MAHER |
| Credential | M.D. |
| Practice Address |
24 Hemlock Dr Great Neck NY 11024-1234 |
| Practice Telephone | 2122035848 |
| Mailing Telephone | 2122035848 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 205242 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
24 HEMLOCK DR |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11024-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078764 | Bryan Daniel Kimiabakhsh | Student in an Organized Health Care Education/Training Program | 38 Hemlock Drive, Great Neck, NY 11024 | 2019-05-17 |
| 1902375926 | Yongjoon Lee | Registered Nurse | 43 Hicks Lane, Great Neck, NY 11024 | 2018-11-20 |
| 1043786312 | 3p Omics, Inc. | Clinic/Center | 3 Forest Ln, Great Neck, NY 11024 | 2018-10-15 |
| 1548783251 | Yael Shira Lalehzarzadeh | Pharmacist | 12 Franklin Rd, Great Neck, NY 11024 | 2017-07-25 |
| 1760891352 | Daniel Unverzagt | Specialist/Technologist | 300 Steamboat Rd., Kings Point, NY 11024 | 2014-08-07 |
| 1245667484 | Michelle Zobel | Speech-Language Pathologist | 2 Kenneth Court, Great Neck, NY 11024 | 2013-10-02 |
| 1225463243 | Lisa Lavi | Counselor | 181 Kings Point Road, Great Neck, NY 11024 | 2013-09-10 |
| 1750653911 | Mount Sinai Medical Center | General Acute Care Hospital | 1 Ballantine Lane, Great Neck, NY 11024 | 2012-02-03 |
| 1831492578 | Jeongmi Park | Registered Nurse | 190 Steamboat Rd, Great Neck, NY 11024 | 2010-12-20 |
| 1740590322 | Elise Anne Chait | Occupational Therapist | 251 Steamboat Road, Great Neck, NY 11024 | 2010-10-15 |
| Find all providers in zip 11024 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598146383 | Daniel D Refoua | Internal Medicine | 12 Willow Pl, Great Neck, NY 11021-1906 | 2015-06-17 |
| 1093192858 | Caredoc Medical PC | Internal Medicine | 45 Hill Park Ave #1-o, Great Neck, NY 11021-3719 | 2015-04-30 |
| 1497185532 | Philip Alan Bresnick | Internal Medicine | 17 Schoolhouse Lane, Great Neck, NY 11020 | 2013-11-26 |
| 1336481928 | Benjamin Gentin | Internal Medicine | 92 Cedar Dr, Great Neck, NY 11021-2836 | 2013-03-21 |
| 1417299033 | Jennifer Chao | Internal Medicine | 488 Great Neck Rd Ste 200, Great Neck, NY 11021 | 2013-03-21 |
| 1073818308 | North Shore Lij Physicians Group PC | Internal Medicine | 145 Community Dr, Great Neck, NY 11021-5502 | 2011-01-18 |
| 1265746358 | Dr. Edward Wolff | Internal Medicine | 107 Northern Blvd Ste 404, Great Neck, NY 11021-4312 | 2010-07-30 |
| 1760700520 | Joseph Yehounatan | Internal Medicine | 5 Hewlett Pl, Great Neck, NY 11024-1605 | 2010-05-04 |
| 1487978870 | Fevus Landman | Internal Medicine | 3 Winfield Terrace, Great Neck, NY 11023-2018 | 2010-03-15 |
| 1568784759 | Rsn Imaging LLC | Internal Medicine | 1000 Northern Blvd Ste 375, Great Neck, NY 11021-5312 | 2010-02-16 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11024 |
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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.