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EAST SHORE MEDICAL PC NPI 1477508315


NPI Information

NPI: 1477508315
Provider Name: EAST SHORE MEDICAL PC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
122 W END AVE
BROOKLYN, NY
ZIP 11235
Phone: (718) 646-7575
Get Directions

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 1477508315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

122 W END AVE
BROOKLYN, NY
ZIP 11235-809
Phone: (718) 646-7575
Fax: (718) 646-7727

The provider's authorized official is Vladimir Gressel .
The authorized official title is Medical Director and has the following contact phone number (718) 646-7575.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 10/12/2007.


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
1207L00000XAnesthesiologyNo
2207R00000XInternal MedicineNo
3207X00000XOrthopaedic SurgeryNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
62081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W34763MEDICARE PINNEW YORK
2W34761MEDICARE PINNEW YORK

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

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