Great Neck Medicine, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

260969 Issued in NY

Legal business name

GREAT NECK MEDICINE, PC

Practice address

290 Community Dr
Great Neck, NY 11021-5504

Phone

(516) 487-1902

Fax

(516) 487-4156

NPI assigned

Sep 12, 2014

Last updated

Sep 12, 2014By 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

Mr. Marcello Sozio

Title

Ceo

Phone

(516) 487-1902

Specialties & licenses 1

Addresses

Tax ID family

Great Neck Medicine PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Great Neck Medicine PC

  • Specialist
  • Great Neck, NY
  • NPI 1942631270
  NPD tax ID

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1629479324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215504",
            "telephone_number": "516-487-1902",
            "fax_number": "516-487-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215504",
            "telephone_number": "516-487-1902",
            "fax_number": "516-487-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "SOZIO",
        "authorized_official_first_name": "MARCELLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-487-1902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "260969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Neck Medical Care, P.C.
• Great Neck Medical Group, LLP
• Great Neck Medical Psychiatry Associates, PC
• Great Neck Medical, P.C.
• Great Neck Medicine PC
• Great Neck Neurological Surgery, P.C. (Great Neck Stand Up Mri)
• Great Neck Ny Medical PLLC
• Great Neck Obstetrics & Gynecology PC
• Great Neck Occupational Therapy
• Great Neck Optical Inc

• Clinic/Center in Great Neck, NY
• Providers in Great Neck, 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 Sep 12, 2014; 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.