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

Island Medical Empire State, PLLC

Organization Emergency Medicine Physician · NPI 1053623041

Island Medical Empire State, PLLC is an Emergency Medicine Physician in Oneonta, New York. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Norton Avenue Emergency Dept A O Fox Memorial Hospital
Oneonta, NY 13820-2629
Phone: (607) 431-5003
Fax: (607) 431-5058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1053623041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Ferrara — President · (631) 514-7600
Other names Pegasus Medicine Group Empire State, Pllc
NPI enumeratedJuly 8, 2010
Last updated in NPPESMay 25, 2016
Mailing address350 Motor Pkwy, Suite 309, Hauppauge, NY 11788-5101

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