PDG MEDICAL PC (NPI# 1578712295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578712295 |
| Entity Type | Organization |
| Organization Name | PDG MEDICAL PC |
| Practice Address |
1855 Union Blvd Bay Shore NY 11706-7949 |
| Mailing Address |
Po Box 5390 Bay Shore NY 11706-0279 |
| Practice Telephone | 6316653666 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | DR. PAUL GREENBLATT (PRESIDENT) |
| Authorized Official Telephone | 6316653666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1855 UNION BLVD |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-7949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496091 | Edward Delano | Specialist | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2005-09-02 |
| 1629411285 | Eric Carter | Social Worker | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2013-04-14 |
| 1295084911 | Debra A Viola | Social Worker | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2012-09-10 |
| 1174813190 | Eloisa Moreira | Counselor | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2011-04-11 |
| 1851575559 | Joseph Tamburrino | Podiatrist | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2007-12-18 |
| 1710196662 | Nancy R Ko | Physician Assistant | 1855 Union Blvd, Suite B, Bay Shore, NY 11706 | 2007-05-21 |
| 1437250420 | Lisa Maria Gostkowski | Specialist | 1855 Union Blvd, Suite C, Bay Shore, NY 11706-7949 | 2006-09-25 |
| 1033126214 | Daniel Gozdziewski | Chiropractor | 1855 Union Blvd, Suite C, Bay Shore, NY 11706 | 2006-08-01 |
| 1578528667 | Jonathan Grossman | Social Worker | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2006-04-20 |
| 1356306880 | Peter Vigliotta | Social Worker | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2006-04-18 |
| 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 | 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 |
|---|---|---|---|---|
| 1992902092 | Frank Michael Esemplare | Internal Medicine | 39 Tern Ct, Bay Shore, NY 11706-7528 | 2007-07-02 |
| 1558436972 | Richard Francis Michalowicz | Internal Medicine | 21 Shore Lane, Bay Shore, NY 11706 | 2006-11-21 |
| 1093810301 | Sevinc Itir Kadayifci | Internal Medicine | 301 East Main St, Bay Shore, NY 11706 | 2006-09-13 |
| 1235134602 | Mark R Siegelheim | Internal Medicine | 200 Howells Rd, Bay Shore, NY 11706-5300 | 2005-06-14 |
| 1073516191 | Lawrence D. Campbell | Internal Medicine | 32 E Main St, Bay Shore, NY 11706-8301 | 2005-05-23 |
| 1235559105 | Erica Beauplan | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2014-04-18 |
| 1053734863 | Christina Maria Antoine | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2014-01-29 |
| 1487098661 | Sadia Arshad | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2013-04-18 |
| 1235405432 | Yuriy Dekhkanov | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2012-04-02 |
| 1235401217 | Abdul Sattar | Internal Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2012-02-06 |
| Find all providers in BAY SHORE | ||||
Please comment or provide details below to improve the information on PDG MEDICAL PC.
| 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.