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

Pavo Cristatus Medical PC

Organization Specialist · NPI 1972065068

Pavo Cristatus Medical PC is a Specialist in Great Neck, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1010 Northern Blvd Ste 208
Great Neck, NY 11021-5320
Phone: (718) 464-0122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1972065068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramkumar Panhani — President · (718) 464-0122
NPI enumeratedApril 5, 2019
Last updated in NPPESApril 5, 2019
Mailing address1010 Northern Blvd Ste 208, Great Neck, NY 11021-5320

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