MEDICARE: PAVEL GOZENPUT 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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1790331080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAVEL GOZENPUT MEDICAL PC

Provider Business Mailing Address
First Line	:	2083 E 65TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5913
Country	:	US
Telephone Number	:	718-444-5105
Fax Number	:	718-444-5107

Provider Business Practice Location Address
First Line	:	2083 E 65TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5913
Country	:	US
Telephone Number	:	718-444-5105
Fax Number	:	718-444-5107

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAVEL GOZENPUT
Credential	:	MD
Telephone Number	:	718-344-4474

Provider Enumeration Date	:	08/13/2019
Last Update Date	:	08/13/2019

Similar Medicare Providers

1346295078 — DR. ANTHONY DANIEL BIZ D.C.
Practice Location Address:

2083 E 65TH ST
BROOKLYN, NY
11234-5913

Practice Phone: 718-531-4325
Practice Fax: 646-435-2418

1922046648 — JACK I. APELBAUM, M.D., P.L.L.C.
Practice Location Address:

2083 E 65TH ST , ENTRANCE ON AVENUE U
BROOKLYN, NY
11234-5913

Practice Phone: 718-531-5800
Practice Fax: 718-444-4823

1881772747 — CLIFFORD BEINART, M.D PC
Practice Location Address:

2083 E 65TH ST
BROOKLYN, NY
11234-5913

Practice Phone: 212-732-1886
Practice Fax:

1548544596 — DR ANTHONY BIZ CHIROPRACTIC WELLNESS PLLC
Practice Location Address:

2083 E 65TH ST
BROOKLYN, NY
11234-5913

Practice Phone: 718-531-4325
Practice Fax: 646-435-2418

1063897148 — FENYA FRENKEL
Practice Location Address:

2083 E 65TH ST
BROOKLYN, NY
11234-5913

Practice Phone: 718-444-5105
Practice Fax: 718-444-5106

1013417054 — VITAL CARE PHYSICAL THERAPY PLLC
Practice Location Address:

2075 E 65TH ST FL 2
BROOKLYN, NY
11234-5913

Practice Phone: 347-522-2934
Practice Fax:

Directions to “PAVEL GOZENPUT MEDICAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.