Emma Gorynski Daboll, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

288123 Issued in NY

Practice address

1055 Stewart Avenue
Bethpage, NY 11714-3596

Phone

(516) 938-0100

Fax

(516) 938-0120

NPI assigned

May 12, 2014

Last updated

Feb 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emma.daboll.1@13092.direct.athenahealth.com
• Direct secure messaging: emma.gorynski.1@13092.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13092/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flatiron Pediatrics of Port PC

  • Pediatrics Physician
  • Port Washington, NY
  • NPI 1568042109
  NPD (past)
• Flatiron Pediatrics, PC

  • Pediatrics Physician
  • New York, NY
  • NPI 1467873349
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1083025191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ADVANTAGECARE PHYSICIANS, PC",
            "address_2": "55 WATER STREET 2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10041",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 STEWART AVENUE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143596",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105300",
            "country_code": "US",
            "telephone_number": "212-460-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABOLL",
        "first_name": "EMMA",
        "middle_name": "GORYNSKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "288123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC (CVS Pharmacy # 00555)
• Marie P Czarniecki, O.T.R./L
• Salina M D'Abreu, WHNP
• Yevgeniya D'Alessandro
• Joseph M D'Ambrosio, DMD
• Joyce H Damino, PHD
• Abiola Desola Danmola, PHARM. D
• Paul Dantes, M.D.
• Daryl Perlman Physician PC
• David a. Gentile, DO Cacpc

• Pediatrics Physician in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.