ABRAHAM DAVID GADELOV (NPI# 1588203756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588203756 |
| Entity Type | Individual |
| Full Name | ABRAHAM DAVID GADELOV |
| Practice Address |
2917 Bell Blvd Bayside NY 11360-2543 |
| Mailing Address |
207 Glen Cove Ave Sea Cliff NY 11579-1455 |
| Practice Telephone | 9176034750 |
| Mailing Telephone | 5166761742 |
| Mailing Fax Number | 5166769662 |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2917 BELL BLVD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094631 | Chun Kit Poon | Physician Assistant | 4834 206th St # 1f, Bayside, NY 11364-1050 | 2019-10-09 |
| 1790148880 | Valeriya Bokova | Physician Assistant | 1526 215th St Fl 1, Bayside, NY 11360-1224 | 2016-04-05 |
| 1962871830 | Rebecca Joy Wong | Physician Assistant | 6117 231st St, Bayside, NY 11364-2426 | 2015-09-21 |
| 1295079036 | Jessica Schlussel | Physician Assistant | 21008 Northern Blvd Ste 2, Bayside, NY 11361-3211 | 2012-11-17 |
| 1992054456 | Deborah Du | Physician Assistant | 2130 202nd St, Bayside, NY 11360-1024 | 2012-08-30 |
| 1073778619 | Amy Beth Livingston | Physician Assistant | 4401 Francis Lewis Blvd - Ste. L2a, Bayside, NY 11361-3028 | 2008-07-23 |
| 1790884302 | Katherine Baron | Physician Assistant | 42-32 Francis Lewis Blvd., Bayside, NY 11361 | 2006-09-21 |
| 1023379302 | Brenda O'shea Robinson | Physician Assistant | 3245 Bell Blvd, Bayside, NY 11361-1060 | 2012-06-04 |
| 1972863785 | Theresa Federici | Physician Assistant | 1785 215th St, 4a, Bayside, NY 11360-1727 | 2012-05-25 |
| 1881874741 | Angela Un Chong | Physician Assistant | 4401 Francis Lewis Blvd, Ste L3a, Bayside, NY 11361-3028 | 2007-11-08 |
| Find all providers in BAYSIDE | ||||
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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.