Organization
BG MEDICAL AND DIAGNOSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY GERIS MD (PRESIDENT)
(718) 442-5550
Entity
Organization
Contact information
Practice address
2071 CLOVE RD, STATEN ISLAND, NY 10304-1671
(718) 442-5550
Mailing address
2071 CLOVE RD, STATEN ISLAND, NY 10304-1671
(718) 442-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
09/11/2025
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