Prevent Diagnostic Corp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREVENT DIAGNOSTIC CORP

Practice address

205 Wood Rd
Lake Grove, NY 11755-1856

Phone

(631) 676-4336

Fax

(631) 676-4337

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gamze Yanik

Title

President

Phone

(631) 676-4336

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1396053450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WOOD RD",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551856",
            "telephone_number": "631-676-4336",
            "fax_number": "631-676-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WOOD RD",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551856",
            "telephone_number": "631-676-4336",
            "fax_number": "631-676-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENT DIAGNOSTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "YANIK",
        "authorized_official_first_name": "GAMZE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-676-4336"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Pierce
• Samantha Josephine Polidoro, LPN
• Brooke Elizabeth Postl, LMHC
• Precision Post-Op Care LLC (Precision Lymphatics)
• Sherry Preet
• Deborah Ann Priebe, PH.D.
• Carli Pusateri
• Saira Qureshi, RN
• Melissa Lee Ragusa, RN
• Lauren A. Ramirez, RN

• Multi-Specialty Clinic/Center in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.