Organization
ISLAND MEDICAL EMPIRE STATE, PLLC
Active
Other names
Pegasus Medicine Group Empire State, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R. FERRARA D.O. (PRESIDENT)
(631) 514-7600
Entity
Organization
Contact information
Practice address
ONE NORTON AVENUE, EMERGENCY DEPARTMENT, A. O. FOX MEMORIAL HOSPITAL, ONEONTA, NY 13820-2629
(607) 431-5003
(607) 431-5058
Mailing address
350 MOTOR PKWY, SUITE 309, HAUPPAUGE, NY 11788-5101
(631) 514-7600
(631) 813-1472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/08/2010
Last updated
05/25/2016
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