COMPLETE WOMEN'S IMAGING, PC (NPI# 1649332107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649332107 |
Entity Type | Organization |
Organization Name | COMPLETE WOMEN'S IMAGING, PC |
Practice Address |
990 Stewart Avenue Suite 100 Garden City NY 11530 |
Practice Telephone | 5162224294 |
Practice Fax Number | 5162224885 |
Mailing Telephone | 5162224294 |
Mailing Fax Number | 5162224885 |
Enumeration Date | 2006-12-14 |
Last Update Date | 2016-11-08 |
Authorized Official Name | GEORGE R AUTZ (OWNER/MEDICAL DIRECTOR) |
Authorized Official Telephone | 5162224855 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
NY | Allopathic & Osteopathic Physicians |
Street Address |
990 STEWART AVENUE SUITE 100 |
City | GARDEN CITY |
State | NY |
Zip Code | 11530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619950532 | William A. Purtill | Surgery | 990 Stewart Avenue, Suite L32, Garden City, NY 11530 | 2005-11-23 |
1760620850 | Bradley Benjamin Block | Otolaryngology | 990 Stewart Avenue, Suite 610 - Enta, Garden City, NY 11530-4838 | 2009-01-27 |
1609894930 | Paul A Bell | Otolaryngology | 990 Stewart Avenue, Suite 610, Garden City, NY 11530-4838 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
Find all providers in zip 11530 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760531768 | Bilha Chesner Fish | Radiology | 990 Stewart Ave, Garden City, NY 11530-4822 | 2007-01-09 |
1427107473 | Richard Neal Silvergleid | Radiology | 224 7th St, Garden City, NY 11530-5774 | 2007-01-09 |
1508800293 | Jonathan S Luchs | Radiology | 224 7th St, 3rd Floor, Garden City, NY 11530-5774 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122709 | Rayane Issa | Radiology | 109 E 102nd St Apt 2g, New York, NY 10029-5896 | 2020-10-24 |
1992327134 | Dongmei Jiang | Radiology | 15041 26th Ave, Flushing, NY 11354-1513 | 2020-05-11 |
1871137828 | Vetri Sudar Jayaprakasam | Radiology | 1233 York Ave Apt 17i, New York, NY 10065-6342 | 2019-11-03 |
1447801808 | Elisabeth O'dwyer | Radiology | 525 E 68th St. Radiology, Cornell/new York Presbyterian, New York, NY 10021-4870 | 2019-09-26 |
1184038069 | Kimberly Owens | Radiology | 1783 Route 9 Ste 104, Halfmoon, NY 12065-2465 | 2014-06-18 |
1972876340 | Paul D Rodrigue | Radiology | 47 New Scotland Ave Ofc, Albany, NY 12208-3412 | 2012-02-16 |
1912289828 | Penny Saxon | Radiology | One Gustave L. Levy Place Box 1234, Department of Radiology The Mount Sinai Medical Center, New York, NY 10029-6574 | 2011-09-16 |
1518248657 | Kelly M Barna | Radiology | 150 E. Sunrise Highway, Lindenhurst, NY 11757 | 2011-09-02 |
1124319710 | Weill Medical College of Cornell University | Radiology | 516 E 72nd St, New York, NY 10021-4804 | 2011-04-29 |
1326345893 | Excel Imaging PC | Radiology | 7235 51st Ave, Suite B, Woodside, NY 11377-7610 | 2011-02-18 |
Find all providers with the same taxonomy |
City | GARDEN CITY |
Zip Code | 11530 |
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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.