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 provides Specialist services 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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