MEDICARE: GREAT NECK NY MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1386595932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT NECK NY MEDICAL PLLC

Provider Business Mailing Address
First Line	:	255 GREAT NECK RD APT 502
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-3362
Country	:	US
Telephone Number	:	516-660-6344
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 GREAT NECK RD APT 502
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-3362
Country	:	US
Telephone Number	:	516-660-6344
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MAEKAL ELYASI
Credential	:
Telephone Number	:	516-660-6344

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

Similar Medicare Providers

1407925779 — DR. JORDAN KLESMER MD
Practice Location Address:

1 BARSTOW RD STE P10
GREAT NECK, NY
11021-3501

Practice Phone: 516-477-2430
Practice Fax: 516-280-8466

1346194487 — DANIELLE NICOLE NAPOLI MS, GC
Practice Location Address:

225 COMMUNITY DR RM 110
GREAT NECK, NY
11021-5506

Practice Phone: 516-918-4800
Practice Fax: 516-918-4839

1518299965 — MS. PUI YIU CORINA WONG PA
Practice Location Address:

1 BOND ST
GREAT NECK, NY
11021-2408

Practice Phone: 516-858-9276
Practice Fax: 516-441-5882

1427923150 — BERTA KHOLDAROVA FNP
Practice Location Address:

560 NORTHERN BLVD STE 104
GREAT NECK, NY
11021-5100

Practice Phone: 718-444-8014
Practice Fax:

1508992421 — KENNETH STROBEL P.A.
Practice Location Address:

833 NORTHERN BLVD STE 160
GREAT NECK, NY
11021-5322

Practice Phone: 516-498-8400
Practice Fax: 516-498-8404

1972372894 — DERMALEV SOLUTIONS INC
Practice Location Address:

200 MIDDLE NECK RD
GREAT NECK, NY
11021-1107

Practice Phone: 516-452-9800
Practice Fax:

Directions to “GREAT NECK NY MEDICAL PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.