Second Opinion Medicine, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SECOND OPINION MEDICINE, PLLC

Doing business as

Country Medicine

Practice address

670 Stoneleigh Ave
Carmel, NY 10512-3997

Phone

(914) 960-8055

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

P. Charles Garell

Title

President

Phone

(914) 960-8055

Specialties & licenses 2

Addresses

Other names 1

• Country Medicine Doing business as

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1467789206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 STONELEIGH AVE",
            "address_2": "SUITE C-122",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123997",
            "telephone_number": "914-960-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND OPINION MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "GARELL",
        "authorized_official_first_name": "P. CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-960-8055"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Country Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Kim Schwartz, LCSW
• Mary Alice Sciullo, LMHC
• Michelle Scolaro, MA, LMHC
• Kathleen F Scott, RN
• Willie Scott
• Mahe Rukh Selim
• Adam B Semegran, MD
• Vicki Seppell, MPT
• Bruce Marshall Shaffer, DPM
• Marie E Shanaghy-Barrenger

• General Practice Physician in Carmel, NY
• Providers in Carmel, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.