MEDICARE: GENTLE MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	251120	NY

General Provider Information

NPI Number	:	1639421282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE MEDICAL PC

Provider Business Mailing Address
First Line	:	6301 MILL LN
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5512
Country	:	US
Telephone Number	:	718-942-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 MILL LN
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5512
Country	:	US
Telephone Number	:	191-775-6871
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BELLA ZIMILEVICH
Credential	:	M.D.
Telephone Number	:	917-756-8717

Provider Enumeration Date	:	10/06/2012
Last Update Date	:	12/01/2012

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Directions to “GENTLE MEDICAL PC ” Practice Location

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