Healthcare Provider Details

I. General information

NPI: 1730012188
Provider Name (Legal Business Name): GREATER NASSAU ORTHOPEDIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 CLINTON STREET
HEMPSTEAD NY
11550-4211
US

IV. Provider business mailing address

79 WASHINGTON STREET SUITE #1
HEMPSTEAD NY
11550-4211
US

V. Phone/Fax

Practice location:
  • Phone: 516-280-2022
  • Fax: 516-538-8988
Mailing address:
  • Phone: 516-280-2022
  • Fax: 516-538-8988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SALVATORE CORSO
Title or Position: PRESIDENT/OWNER
Credential: MD.
Phone: 516-280-2022