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Hollis Medical Care, P.C.

Surgery Physician in Hollis, NY · enumerated 2007 · authorized official Simon Davydov, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639374390

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Registry record

Entity type Organization (Type 2)
Legal business name Hollis Medical Care, P.C.
Practice address 19002 Jamaica Ave, Hollis, NY, 11423
Fax (718) 740-0755
Enumeration date Jun 20, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Simon Davydov
Title Administrator

Other identifiers

Identifier Type State Issuer
02573462 Medicaid NY -
02724578 Medicaid NY -
00201583 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Hollis Medical Care, P.C.?
The NPI for Hollis Medical Care, P.C. is 1639374390, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Hollis Medical Care, P.C.?
NPPES lists Simon Davydov (Administrator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.