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GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON
NPI 1306996954
Otolaryngology in Bay Shore, NY

Active since January 12, 2007
375 E MAIN ST, SUITE 17, BAY SHORE, NY 11706(631) 665-2430(631) 665-2342 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gargano Bonafede Campbell Odonnell Bergson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON (NPI 1306996954) is a healthcare organization registered as an otolaryngology in Bay Shore, New York and active in the NPI registry since January 2007. The organization lists Robert Gargano, President, as its authorized official.

NPPES Registry Identity

NPI1306996954
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameGREAT SOUTH BAY OTOLARYNGOLOGY PC
Location Address375 E MAIN ST, SUITE 17Bay Shore, NY 11706-8418
Mailing Address375 E Main St, Suite 17Bay Shore, NY 11706-8418 · (631) 665-2430 · Fax (631) 665-2342
Phone(631) 665-2430
Fax(631) 665-2342
Organization SubpartNo
Authorized OfficialRobert GarganoPresident · (631) 665-2430
Enumeration DateJanuary 12, 2007
Last NPPES UpdateOctober 14, 2014
✔ NPI 1306996954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
375 E MAIN ST, Bay Shore, NY 11706
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Other Names 1

Doing Business AsGargano Bonafede Campbell Odonnell Bergson

Other Identifiers 2

Medicare PINWX0952NY
Medicare PINWX0951NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL POLIDORO PA
Physician Assistant
375 E MAIN ST, STE 1
BAY SHORE, NY 11706
Suffolk County (631) 665-8790
PAUL HOWARD BROOMFIELD MD
Internal Medicine (Gastroenterology)
375 E MAIN ST, STE 21
BAY SHORE, NY 11706
Suffolk County (631) 968-8288
DR. STEPHEN ALLAN LEWEN MD
Ophthalmology
375 E MAIN ST, SUITE 24
BAY SHORE, NY 11706
Suffolk County (631) 665-1330
WESTERN SUFFOLK GASTROENTEROLOGY ASSOC LLP
Internal Medicine (Gastroenterology)
375 E MAIN ST, STE 21
BAY SHORE, NY 11706
Suffolk County (631) 968-8288
DR. MICHAEL ERIC TUCKER DDS
Dentist (General Practice)
375 E MAIN ST, 16
BAY SHORE, NY 11706
Suffolk County (516) 665-3707
FRANK JOSEPH KARPOWICZ MD
Internal Medicine (Gastroenterology)
375 E MAIN ST, STE 21
BAY SHORE, NY 11706
Suffolk County (631) 968-8288
MICHAEL SHAPIRO M.D.
Radiology (Diagnostic Radiology)
375 E MAIN ST, SUITE 12
BAY SHORE, NY 11706
Suffolk County (631) 666-5620
AMANDA NEUBAUER
Audiologist
375 E MAIN ST, SUITE 17 ENTANDALLERGY
BAY SHORE, NY 11706
Suffolk County (631) 665-2430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great South Bay Otolaryngology PC's NPI number?

The NPI number for Great South Bay Otolaryngology PC is 1306996954. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Gargano Bonafede Campbell Odonnell Bergson.

Where is Great South Bay Otolaryngology PC located?

Great South Bay Otolaryngology PC is located at 375 E Main St Suite 17, Bay Shore, NY 11706. The listed phone number is (631) 665-2430.

What is Great South Bay Otolaryngology PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Great South Bay Otolaryngology PC was last updated on October 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.