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EAST SHORE MEDICAL PC NPI 1114972957


NPI Information

NPI: 1114972957
Provider Name: EAST SHORE MEDICAL PC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1110 PENNSYLVANIA AVE
SUITE 14
BROOKLYN, NY
ZIP 11207
Phone: (718) 257-0900
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EAST SHORE MEDICAL PC is a pain medicine physical medicine rehabilitation in Brooklyn, NY. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. EAST SHORE MEDICAL PC NPI is 1114972957. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1110 PENNSYLVANIA AVE
SUITE 14
BROOKLYN, NY
ZIP 11207-061
Phone: (718) 257-0900
Fax: (718) 257-5622

The provider's authorized official is Vladimir Gressel .
The authorized official title is Medical Director and has the following contact phone number (718) 275-0900.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes
2207QA0505XFamily MedicineAdult MedicineX
3207RC0000XInternal MedicineCardiovascular DiseaseX
42084P0800XPsychiatry & NeurologyPsychiatryX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.