Form Emedny-490301 - Application For Enrollment As A Specialist Form - New York State Department Of Health Page 2
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1
2PROVIDER SPECIALTY CODES
PHYSICIAN SPECIALTY CODES
CODE
SPECIALTY
CODE
SPECIALTY
010
ALLERGY AND IMMUNOLOGY
PEDIATRICS
150
Pediatrics
020
151
Pediatric Cardiology
ANESTHESIOLOGY
152
Pediatric Hematology-Oncology
102
Pediatric Nephrology
ASTHMA EDUCATOR
154
155
Neonatal-Perinatal Medicine
156
Pediatric Endocrinology
DERMATOLOGY
040
Dermatology
157
Pediatric Pulmonology
041
Dermatopathology
161
Pediatric Critical Care
163
Pediatric Gastroenterology
103
DIABETES EDUCATOR
160
PHYSICAL MEDICINE &
250
EMERGENCY MEDICINE
REHABILITATION
050
162
FAMILY PRACTICE
OSTEOPATHIC MANIPULATIVE
MEDICINE
INTERNAL MEDICINE
060
Internal Medicine
PREVENTIVE MEDICINE
062
Cardiovascular Disease
182
General Preventive Medicine
063
Endocrinology & Metabolism
183
Occupational Health
064
Gastroenterology
184
Public Health
065
Hematology
185
Aerospace Medicine
066
Infectious Disease
067
Nephrology
PSYCHIATRY AND NEUROLOGY
068
Pulmonary Disease
191
Child Psychiatry
069
Rheumatology
192
Psychiatry
241
Medical Oncology
193
Child Neurology
194
Neurology
080
195
Psychiatry and Neurology
NUCLEAR MEDICINE
OBSTETRICS AND GYNECOLOGY
089
Obstetrics and Gynecology
092
Maternal & Fetal Medicine
RADIOLOGY
093
Reproductive Endocrinology
201
Diagnostic Radiology
242
Gynecologic Oncology
202
Diagnostic Radiology with Special
Competence in Nuclear Radiology
100
205
Therapeutic Radiology
OPHTHALMOLOGY
120
187
OTOLARYNGOLOGY
MEDICAL GENETICS
PATHOLOGY
SURGERY
131
Blood Banking
030
Colon and Rectal Surgery
135
Clinical Pathology
070
Neurological Surgery
136
Forensic Pathology
110
Orthopedic Surgery
137
Hematology
153
Pediatric Surgery
138
Chemical Pathology
170
Plastic Surgery
139
Medical Microbiology
210
General Surgery
141
Neuropathology
220
Thoracic Surgery
142
Anatomic Pathology
143
Dermatopathology
230
UROLOGY
146
Anatomic & Clinical Pathology
148
Radioisotopic Pathology
DENTAL SPECIALTY CODES
CODE
SPECIALTY
CODE
SPECIALTY
801
Orthodontics
806
Periodontics
802
Endodontics
807
Public Health
803
Oral Pathology
808
Oral Surgery
804
Pedodontics
809
Dental Anesthesiology
805
Prosthodontics
810
Parenteral Conscious Sedation
EMEDNY-490301 (03/14)
Page 2 of 2
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