Bay Shore Family Medical Care PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

175993-1 Issued in NY

Legal business name

BAY SHORE FAMILY MEDICAL CARE PC

Practice address

2915 Sunrise Hwy
Islip Terrace, NY 11752-2716

Phone

(631) 446-1006

Fax

(631) 446-1009

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Nelson R Giraldo, M.D.

Title

Supervising Physician

Phone

(631) 665-8006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1578563714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 SUNRISE HWY",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522716",
            "telephone_number": "631-446-1006",
            "fax_number": "631-446-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 SUNRISE HWY",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522716",
            "telephone_number": "631-446-1006",
            "fax_number": "631-446-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SHORE FAMILY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "631-665-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "175993-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.