Grigoriy Shimonov (NPI# 1215938139, PAC ID# 5698736395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1215938139 |
PAC ID by PECOS | 5698736395 |
Professional Enrollment ID | I20041026000385 |
Full Name | Grigoriy Shimonov |
Address |
15614 Crossbay Blvd Howard Beach NY 11414-2745 |
Gender | M |
Credential | OD |
Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
Graduation Year | 2004 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
15614 Crossbay Blvd, Howard Beach, NY 11414-2745 |
Street Address |
15614 CROSSBAY BLVD |
City | HOWARD BEACH |
State | NY |
Zip | 11414-2745 |
Name | Specialty | Organization | Address |
---|---|---|---|
William A Weiner | Diagnostic Radiology | 13525 F 79th St, Suite 2b, Howard Beach, NY 11414-1027 | |
Norman J Riegel | Cardiovascular Disease (cardiology) | 14916 80th St, Howard Beach, NY 11414-1108 | |
James M Koelln | Psychologist, Clinical | 8509 151st Ave, Apt Lm, Howard Beach, NY 11414-1304 | |
Nyapati Rao | Psychiatry | 8509 151st Ave, Apt Lm, Howard Beach, NY 11414-1304 | |
Vinod Hobala | Physical Therapy | A To Z Physical Therapy PC | 8610 151st Ave, Howard Beach, NY 11414-1332 |
Avrum I Musnik | Chiropractic | 8808 151st Ave, Apt P3, Howard Beach, NY 11414-1406 | |
Anthony Chionis | Podiatry | 14930 88th St, Suite 1, Howard Beach, NY 11414-1438 | |
Jeffrey I Weissman | Orthopedic Surgery | 151 -32, Howard Beach, NY 11414-1738 | |
Susan Kay Mishan | Optometry | Marc Mishan O.d., P.C. | 8227 153rd Ave, Howard Beach, NY 11414-1751 |
Marc Mishan | Optometry | Marc Mishan O.d., P.C. | 8227 153rd Ave, Howard Beach, NY 11414-1751 |
Find all physicians in zip 11414 |
City | HOWARD BEACH |
Zip Code | 11414 |
Specialty | OPTOMETRY |
City + Specialty | HOWARD BEACH + OPTOMETRY |
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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.