Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great South Bay Otolaryngology PC

Organization Otolaryngology Physician · NPI 1306996954

Great South Bay Otolaryngology PC is an Otolaryngology Physician in Bay Shore, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

375 E Main St Ste 17
Bay Shore, NY 11706-8418
Phone: (631) 665-2430
Fax: (631) 665-2342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1306996954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gargano — President · (631) 665-2430
Other names Gargano Bonafede Campbell Odonnell Bergson
NPI enumeratedJanuary 12, 2007
Last updated in NPPESOctober 14, 2014
Mailing address375 E Main St, Suite 17, Bay Shore, NY 11706-8418