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PAVO CRISTATUS MEDICAL PC
NPI 1972065068
Specialist in Great Neck, NY

Active since April 05, 2019
1010 NORTHERN BLVD STE 208, GREAT NECK, NY 11021(718) 464-0122 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavo Cristatus Medical Pc NPPES

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

PAVO CRISTATUS MEDICAL PC (NPI 1972065068) is a healthcare organization registered as a specialist in Great Neck, New York and active in the NPI registry since April 2019. The organization lists Ramkumar Panhani, President, as its authorized official.

NPPES Registry Identity

NPI1972065068
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePAVO CRISTATUS MEDICAL PC
Location Address1010 NORTHERN BLVD STE 208Great Neck, NY 11021-5320
Mailing Address1010 Northern Blvd Ste 208Great Neck, NY 11021-5320 · (718) 464-0122
Phone(718) 464-0122
Organization SubpartNo
Authorized OfficialRamkumar PanhaniPresident · (718) 464-0122
Enumeration DateApril 5, 2019
✔ NPI 1972065068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1010 NORTHERN BLVD STE 208, Great Neck, NY 11021
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Other Identifiers 1

Medicaid01583586NY

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 3

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

MS. LISA B HAYIM MS, RD
Dietitian, Registered
1010 NORTHERN BLVD STE 208, ROOM 22
GREAT NECK, NY 11021
Nassau County (516) 428-6038
EDWARD MOK
Occupational Therapist
1010 NORTHERN BLVD STE 208
GREAT NECK, NY 11021
Nassau County (516) 472-7002
DARIA SOWA OTR/L
Occupational Therapist
1010 NORTHERN BLVD STE 208
GREAT NECK, NY 11021
Nassau County (516) 472-7002

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 Pavo Cristatus Medical PC's NPI number?

The NPI number for Pavo Cristatus Medical PC is 1972065068. It was assigned to this organization in the NPPES registry on April 5, 2019.

Where is Pavo Cristatus Medical PC located?

Pavo Cristatus Medical PC is located at 1010 Northern Blvd Ste 208, Great Neck, NY 11021. The listed phone number is (718) 464-0122.

What is Pavo Cristatus Medical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pavo Cristatus Medical PC was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.