BROOKVILLE HEMATOLOGY ONCOLOGY PLLC (NPI# 1407090616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407090616 |
| Entity Type | Organization |
| Organization Name | BROOKVILLE HEMATOLOGY ONCOLOGY PLLC |
| Practice Address |
333 Glen Head Rd Suite 210 Glen Head NY 11545-1947 |
| Practice Telephone | 5166093010 |
| Practice Fax Number | 5166093012 |
| Mailing Telephone | 5166093010 |
| Mailing Fax Number | 5166093012 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |
| Authorized Official Name | DR. GEORGE ZERVOS (OWNER) |
| Authorized Official Telephone | 5166093010 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
170701 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
333 GLEN HEAD RD SUITE 210 |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693216 | Debra A Ferman | Internal Medicine | 333 Glen Head Rd, Glen Head, NY 11545-1947 | 2005-07-18 |
| 1609414432 | Alison Diaz-perez | Counselor | 333 Glen Head Rd, Glen Head, NY 11545-1947 | 2019-12-11 |
| 1447811906 | Eleni Agresta | Dietitian, Registered | 333 Glen Head Rd, Glen Head, NY 11545-1947 | 2019-06-25 |
| 1285104984 | Brittany Lynn Lipowski | Counselor | 333 Glen Head Rd, Glen Head, NY 11545-1947 | 2018-11-26 |
| 1295077949 | Steven Yellin Clinical Psychologist PC | Psychologist | 333 Glen Head Rd, Suite 50, Glen Head, NY 11545-1947 | 2013-03-20 |
| 1003118027 | James Mayer | Social Worker | 333 Glen Head Rd, Suite 155, Glen Head, NY 11545-1947 | 2010-11-23 |
| 1528206828 | Sonia S Jauhar | Internal Medicine | 333 Glen Head Rd, Ste 220, Glen Head, NY 11545-1962 | 2009-01-26 |
| 1598914673 | Philip B Kossover | Chiropractor | 333 Glen Head Rd, Suite 150, Glen Head, NY 11545-1947 | 2008-09-15 |
| 1558527275 | Karen Stellato | Nurse Practitioner | 333 Glen Head Rd, Glen Head, NY 11545-1947 | 2008-08-01 |
| 1750548194 | Joseph M Capo Md PC | Otolaryngology | 333 Glen Head Rd, Suite 110, Glen Head, NY 11545-1947 | 2008-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
| Find all providers in zip 11545 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487702544 | George Zervos | Internal Medicine | 333 Glen Head Road, Suite 210, Glen Head, NY 11545-1947 | 2007-01-08 |
| 1881693216 | Debra A Ferman | Internal Medicine | 333 Glen Head Rd, Glen Head, NY 11545-1947 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058778 | Robert Lee De Jager | Internal Medicine | 27 Barker Ave Apt 403, White Plains, NY 10601-1559 | 2019-05-15 |
| 1033623178 | Advanced Care Associates LLC | Internal Medicine | 455 North End Avenue, Ground Floor, Welness Center, New York, NY 10282-5383 | 2017-11-28 |
| 1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1376095901 | Carolyn Michele Paradise | Internal Medicine | 6 Gilman Ln, Cortlandt Manor, NY 10567-6204 | 2016-10-31 |
| 1821444001 | Advanced Hematology Oncology Pllc | Internal Medicine | 4235 Main St Ste 3h, Flushing, NY 11355-3956 | 2016-05-06 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1588031389 | Taha Oncology PC | Internal Medicine | 568b Buchanan Ave, Staten Island, NY 10314-4160 | 2015-08-27 |
| 1609251123 | Gene Resnick | Internal Medicine | 59 Alex Dr, White Plains, NY 10605-3414 | 2015-07-26 |
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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.