KEITH BREGLIO


Address: 260 E Middle Country Rd Ste 107, Smithtown, NY 11787
Phone: 6319797222

KEITH BREGLIO (NPI# 1922277813) 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) 1922277813
Entity Type Individual
Full Name KEITH BREGLIO
Credential M.D.
Practice Address 260 E Middle Country Rd Ste 107
Smithtown
NY 11787
Mailing Address 100 Nicolls Road
Hsc Level 11, Rm 080
Stony Brook
NY 11794-8111
Practice Telephone 6319797222
Practice Fax Number 6312657518
Mailing Telephone 6314448115
Mailing Fax Number 6314446045
Enumeration Date 2008-02-25
Last Update Date 2019-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 236168 NY Allopathic & Osteopathic Physicians
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
236168 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Gustave L Levy Pl, Box 1200, New York, NY 100296500 2122415415

Office Location

Street Address 260 E MIDDLE COUNTRY RD STE 107
City SMITHTOWN
State NY
Zip Code 11787

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780971515 Jessica M Cohn Pediatrics 260 E Middle Country Rd Ste 107, Smithtown, NY 11787 2011-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962779 Gwendolyn Burris Counselor 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 2020-11-04
1467051193 Karin M Caro Adult Companion 9 Three Pond Road, Smithtown, NY 11787 2020-10-23
1639706641 Nimit Khara Student in an Organized Health Care Education/Training Program 240 Middle Country Rd A, Smithtown, NY 11787 2020-03-27
1003469032 Maria Teresa Gardella Nurse Practitioner St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 2019-07-18
1558922070 Pamella Ann Grillo Physician Assistant 373 Ny-111 #5, Smithtown, NY 11787 2019-06-25
1306308127 Sherry Hansen Social Worker 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 2019-04-01
1932663747 Kayla Roundsman Counselor 11 Route 11, Smithtown, NY 11787 2019-01-25
1568959856 Moreen Johnson Registered Nurse Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 2018-04-23
1992217871 Erica Zeller Licensed Clinical Social Work Pllc Social Worker 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 2017-10-31
1881117802 Oisin Vincent Keenan Case Manager/Care Coordinator 11 Ny-111, Smithtown, NY 11787 2017-07-21
Find all providers in zip 11787

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346710977 Ari J Bergwerk Pediatrics Apt #4b 305 Riverside Drive, New York, NY 10025 2018-11-27
1306227525 Karine Amirikian Pediatrics 3415 Bainbridge Ave Fl 7, Bronx, NY 10467 2015-06-12
1407198120 Elizabeth Anne Nofi Berg Pediatrics 622 W 168th St Ph 17, New York, NY 10032-3720 2013-03-20
1316289093 Anastasia Rigas Pediatrics 18 Blueberry Ridge Rd, Setauket, NY 11733-1504 2013-03-20
1366700874 Dominique Drummond Bailey Pediatrics 630 W. 168th Street - Chn 517, Columbia University Medical Center, New York, NY 10032 2012-05-03
1235404559 Judy Rose Dayan Pediatrics 990 E 22nd St, Brooklyn, NY 11210-3610 2012-03-20
1922386994 Aamer Imdad Pediatrics 725 Irving Ave Suite 504, Syracuse, NY 13210 2011-07-25
1982908786 Eileen Mcvey Pediatrics 503 Grasslands Rd Ste 201, Valhalla, NY 10595-1593 2011-01-07
1649404260 Colleen Ann Nugent Pediatrics 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 2009-05-11
1457546582 Babu S Bangaru Pediatrics 9422 59th Ave, Elmhurst, NY 11373-5151 2007-09-12
Find all providers with the same taxonomy

Competitor

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City SMITHTOWN
Zip Code 11787

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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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