PDG MEDICAL PC


Address: 1855 Union Blvd, Bay Shore, NY 11706-7949
Phone: 6316653666

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1855 UNION BLVD
City BAY SHORE
State NY
Zip Code 11706-7949

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BAY SHORE
Zip Code 11706

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Dataset Information

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.

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