Semyon Gurgov (NPI# 1023364643, PAC ID# 4183987548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1023364643 |
PAC ID by PECOS | 4183987548 |
Professional Enrollment ID | I20180417001779 |
Full Name | Semyon Gurgov |
Organization Legal Name | NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE |
Address |
59 Southern Blvd Nesconset NY 11767-1090 |
Phone Number | 6316591700 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 8921999087 |
Number of Group Practice Members | 111 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330045 | NS/LIJ HS HUNTINGTON HOSPITAL |
330024 | MOUNT SINAI HOSPITAL |
Address | Phone | Organization |
---|---|---|
59 Southern Blvd, Nesconset, NY 11767-1090 | 6316591700 | NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE |
Organization Legal Name | NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE |
Physicians | 93 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jacqueline G Oboyle | Family Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 1155 Northern Blvd, Manhasset, NY 11030-3043 |
Grace Tyndall | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 5 Cuba Hill Rd, Greenlawn, NY 11740-1624 |
Syeda Tanzia Hossain | Gastroenterology | North Shore Medical Group of The Mount Sinai School of Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 |
Deborah Weiss | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 325 Park Ave, Huntington, NY 11743-2779 |
Joan E Altman Neumann | Obstetrics/gynecology | North Shore Medical Group of The Mount Sinai School of Medicine | 9901 Queens Blvd, Rego Park, NY 11374-4512 |
Donna Losco | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 325 Park Ave, Huntington, NY 11743-2779 |
Michael L Prodromou | Critical Care (intensivists) | North Shore Medical Group of The Mount Sinai School of Medicine | 5 Cuba Hill Rd, Greenlawn, NY 11740-1624 |
Armand E Abulencia | Orthopedic Surgery | North Shore Medical Group of The Mount Sinai School of Medicine | 5 Cuba Hill Rd, Greenlawn, NY 11740-1624 |
Thomas F Mannino | Diagnostic Radiology | North Shore Medical Group of The Mount Sinai School of Medicine | 3722 82nd St, Jackson Heights, NY 11372-7032 |
Karen M Green | Dermatology | North Shore Medical Group of The Mount Sinai School of Medicine | 775 Park Ave, Huntington, NY 11743-3976 |
Street Address |
59 SOUTHERN BLVD |
City | NESCONSET |
State | NY |
Zip | 11767-1090 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joanne M Kechejian | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
Andrew Radzik | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
Augustus Mantia | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
Tongle Yu | Family Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
Barbara Stumacher | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
Glenn Rosett | Internal Medicine | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
David H Oustecky | Gastroenterology | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
Philip Mantia | Gastroenterology | North Shore Medical Group of The Mount Sinai School of Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marc Taczanowski | Chiropractic | 62 Lake S Ave, Suite C True Sport Care, Nesconset, NY 11767 | |
Jared Caspe | Physical Therapy | 5 Browns Rd, Nesconset, NY 11767-1026 | |
Richard N Sabinsky | Internal Medicine | Primary Medical Care of Suffolk County, P.C. | 55 Southern Blvd, Nesconset, NY 11767-1043 |
Christina Zaccara | Nurse Practitioner | Primary Medical Care of Suffolk County, P.C. | 55 Southern Blvd, Nesconset, NY 11767-1043 |
Linda M Bocchichio | Chiropractic | 105 Lake Ave So, Nesconset, NY 11767-1049 | |
Grisselle Virga | Clinical Social Worker | 22 Southern Blvd, Suite 105, Nesconset, NY 11767-1086 | |
Syeda Tanzia Hossain | Gastroenterology | North Shore Medical Group of The Mount Sinai School of Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 |
Lisa M Mcdevitt | Qualified Audiologist | Ear Works Audiology PC | 57 Southern Blvd, Suite 4, Nesconset, NY 11767-1091 |
Anne Capogna | Qualified Audiologist | Ear Works Audiology PC | 57 Southern Blvd, Suite 4, Nesconset, NY 11767-1091 |
Joseph C Terrana | Endocrinology | 57 Southern Blvd, Suite 1, Nesconset, NY 11767-1091 | |
Find all physicians in zip 11767 |
City | NESCONSET |
Zip Code | 11767 |
Specialty | UROLOGY |
City + Specialty | NESCONSET + UROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.