DR. MICHAEL I GUREVICH (NPI# 1699773010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699773010 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL I GUREVICH |
| Credential | M.D. |
| Practice Address |
997 Glen Cove Ave Glen Head NY 11545-1593 |
| Practice Telephone | 5166749489 |
| Practice Fax Number | 5167595946 |
| Mailing Telephone | 5166749489 |
| Mailing Fax Number | 5167595946 |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
170878 | NY | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
170878 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
997 GLEN COVE AVE |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315087 | Sherry Xie | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2019-09-17 |
| 1497205173 | Larissa Gourdet | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2016-10-06 |
| 1487999017 | Nancy H Larson | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2012-12-08 |
| 1538442256 | Tia Trivisonno | Acupuncturist | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2011-09-20 |
| 1790928026 | Shreyas T Ravishankar | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2009-04-16 |
| 1619141645 | Ghazanfar W. Haidery Md PC | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2008-04-22 |
| 1861683963 | Suhu Natural Health | Clinic/Center | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2007-08-05 |
| 1588726426 | T.ravishankar Md PC | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2006-12-15 |
| 1972674067 | Nina Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-13 |
| 1801974159 | Ghazanfar W Haidery | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-02 |
| Find all providers in the same location | ||||
| 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 | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083047658 | Stanley Samuel | Psychiatry & Neurology | 2925 West 19th Street, Brooklyn, NY 11224 | 2013-08-18 |
| 1942434311 | Daniel Rollings Karlin | Psychiatry & Neurology | 2061 Narragansett Ave # 2, Bronx, NY 10461-1741 | 2009-05-13 |
| 1689820474 | Timothy Koehler Brennan | Psychiatry & Neurology | 1000 10th Ave Fl 8, New York, NY 10019 | 2008-08-12 |
| 1821295577 | Marianne Elizabeth Chai | Psychiatry & Neurology | 226 E 52nd St, Center for Living, New York, NY 10022-6201 | 2007-06-27 |
| 1538371331 | James Peter Wolberg | Psychiatry & Neurology | 1st Ave & 16th St, Bernstein Pavilion, New York, NY 10003 | 2007-05-04 |
| 1578786141 | Bryan James Mcgreal | Psychiatry & Neurology | 324 Lafayette St Fl 8, New York, NY 10012-2726 | 2007-04-11 |
| 1417070442 | Alejo Parellada | Psychiatry & Neurology | 634 Bergen St, #1, Brooklyn, NY 11238-3450 | 2007-04-06 |
| 1366563652 | Steven Joesph Lee | Psychiatry & Neurology | 130 W. 19th St., Suite Thfb, New York, NY 10011 | 2007-04-03 |
| 1154463511 | Ralph Joseph Carotenuto | Psychiatry & Neurology | 157 South Lake Ave, Albany, NY 12208 | 2007-02-13 |
| 1245383405 | John J Mariani | Psychiatry & Neurology | 51 E 25th St Ste 7e, New York, NY 10010-2945 | 2007-01-19 |
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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.