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OFFICE BASED SURGERY ON THE BAY NPI 1649429929


NPI Information

NPI: 1649429929
Provider Name: OFFICE BASED SURGERY ON THE BAY
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1711 SHEEPSHEAD BAY RD
BROOKLYN, NY
ZIP 11235
Phone: (718) 332-5678
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OFFICE BASED SURGERY ON THE BAY is a gynecology obstetrics gynecology in Brooklyn, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee OFFICE BASED SURGERY ON THE BAY NPI is 1649429929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1711 SHEEPSHEAD BAY RD
BROOKLYN, NY
ZIP 11235-651
Phone: (718) 332-5678
Fax: (718) 934-1780

The provider's authorized official is Oleg Gutnik .
The authorized official title is Medical Director and has the following contact phone number (718) 332-5678.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/11/2008.


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
1207RG0100XInternal MedicineGastroenterologyNo
2207VG0400XObstetrics & GynecologyGynecologyYes

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
1A63833MEDICARE UPIN

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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