Long Island Geriatric Medical Assoc PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LONG ISLAND GERIATRIC MEDICAL ASSOC PC

Practice address

108 Ivy St
Oyster Bay, NY 11771-3504

Phone

(516) 942-7740

Fax

(516) 942-7740

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Eugene Raber, DO

Title

Physician/Owner

Phone

(516) 942-7740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1497946735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 IVY ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713504",
            "telephone_number": "516-942-7740",
            "fax_number": "516-942-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 IVY ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713504",
            "telephone_number": "516-942-7740",
            "fax_number": "516-942-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND GERIATRIC MEDICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "RABER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "516-942-7740",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lavarello
• Gina Lee
• Andrew Lentini, DPT
• Mary Lester, P.T.A.
• Haifang Liu
• Cheryl Lordi, RN
• Heather Lorner, LMHC
• Antoinette Ludden, ACUPUNCTURE
• Jessica Mantzouranis, D.O.
• Alaleh Mapar, DO

• General Practice Physician in Oyster Bay, NY
• Providers in Oyster Bay, 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 Aug 1, 2007; 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.