# BG MEDICAL AND DIAGNOSTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285775908
- **Authorized official:** DR. BILLY GERIS MD (PRESIDENT)
- **Authorized official phone:** (718) 442-5550

## Contact information

- **Practice address:** 2071 CLOVE RD, STATEN ISLAND, NY 10304-1671
- **Practice address phone:** (718) 442-5550
- **Mailing address:** 2071 CLOVE RD, STATEN ISLAND, NY 10304-1671
- **Mailing address phone:** (718) 442-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 09/11/2025