International Travel Medicine, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

INTERNATIONAL TRAVEL MEDICINE, PC

Practice address

200 S Service Rd Ste 212
Roslyn HTS, NY 11577-2118

Phone

(516) 626-2004

Fax

(516) 626-2583

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Tatiana Simon

Title

Administrator

Phone

(516) 626-2518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1720629454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 212",
            "city": "ROSLYN HTS",
            "state": "NY",
            "postal_code": "115772118",
            "telephone_number": "516-626-2518",
            "fax_number": "516-626-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 212",
            "city": "ROSLYN HTS",
            "state": "NY",
            "postal_code": "115772118",
            "telephone_number": "516-626-2004",
            "fax_number": "516-626-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL TRAVEL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-626-2518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy J Brodsky, D.C.
• Eunhye NP
• Joel Bruce Fieldman, M.D.
• Elizabeth Goulding, LCSW
• Joanne Guigliano-Leunis, LCSW
• Mariamma Punnoose John, RN
• Robert Karpas, PSY.D.
• Roslyn Marcus, MSW
• Niaz Nassiri
• Ankita A Patel

• Medical Specialty Clinic/Center in Roslyn HTS, NY
• Providers in Roslyn HTS, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.