South Shore Medical Care &Diagnostic, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1867861 Issued in NY

Legal business name

SOUTH SHORE MEDICAL CARE &DIAGNOSTIC, PC

Practice address

4250 Veterans Memorial Hwy
Suite 1020
Holbrook, NY 11741-4000

Phone

(631) 737-5143

Fax

(631) 737-5224

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrea S Coladner, DO

Title

President

Phone

(631) 737-5143

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul David Priolo, DC

  • Chiropractor
  • Holbrook, NY
  • NPI 1922184746
  NPD (past)
• Mariam S Rubbani, MD

  • Specialist
  • Newark, NJ
  • NPI 1801939723
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1700054954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 1020",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414000",
            "telephone_number": "631-737-5143",
            "fax_number": "631-737-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 1020",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414000",
            "telephone_number": "631-737-5143",
            "fax_number": "631-737-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MEDICAL CARE &DIAGNOSTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "COLADNER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-737-5143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "C09215",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "1867861",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "2192491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lauren Somma
• Patricia J. Sondgeroth, RPAC
• Vanessa Sorin
• Andrea Sosa
• Frances T Soto-Valentino, LMSW, CASAC
• Southside Neonatal Care PC
• Rhea N Spina, LMHC
• Thomas Spinnato, MD
• James R Staropoli, RPH
• Alexander Stein, OTR/L

• Physical Medicine & Rehabilitation Physician in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.