OrganizationActive
1st Med and Diagnostic Services
NPI 1205158870 · Internal Medicine Physician · Douglaston, NY
Provider details
- NPI number
- 1205158870
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Avram Shapiro, Administrator(516) 620-4246
- License
- 196473 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4029a 235th St
Douglaston, NY 11363-1509
Phone: (516) 620-4246
Fax: (516) 620-6807
Street-level locationGet directions
Mailing address
4029a 235th St
Douglaston, NY 11363-1509
Registry dates
- Enumerated
- 2010-02-23
- Last updated
- 2010-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.