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NPI Code Detail

MEDICARE: OCEAN PARKWAY MEDICAL, P.C.

MEDICARE: OCEAN PARKWAY MEDICAL, P.C.
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
1207Q00000XFamily Medicine Physician205927NY
2213E00000XPodiatristN005775NY
3207R00000XInternal Medicine Physician200551NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801891064
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN PARKWAY MEDICAL, P.C.
Provider Business Mailing Address
First Line : 749 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 718-724-0900
Fax Number : 718-724-1590
Provider Business Practice Location Address
First Line : 749 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 718-724-0900
Fax Number : 718-724-1590
Authorized Official
Title or Position : INTERNAML MEDICINE/MEDICAL DIRECTOR
Name : TATYANA INGBERMAN
Credential : M.D.
Telephone Number : 718-724-0900
Provider Enumeration Date : 06/15/2005
Last Update Date : 11/13/2007

Similar Medicare Providers

1962407106 — MRS. TATYANA INGBERMAN M.D.
Practice Location Address:
749 OCEAN PKWY
BROOKLYN, NY
11230-7813
Practice Phone: 718-724-0900
Practice Fax: 718-724-1590
1659367415 — ALDAV PHARMACY, INC
Practice Location Address:
749 OCEAN PKWY
BROOKLYN, NY
11230-7813
Practice Phone: 718-724-2245
Practice Fax: 718-724-0975
1659475986 — DR. STANLEY PINKUS DDS
Practice Location Address:
749 OCEAN PKWY
BROOKLYN, NY
11230-7813
Practice Phone: 718-421-1717
Practice Fax:
1962546697 — DR. ZHANNA GLIKMAN D.P.M
Practice Location Address:
749 OCEAN PKWY
BROOKLYN, NY
11230-7813
Practice Phone: 718-769-8210
Practice Fax:
1619159357 — ZG ADVANCED PODIATRY SERVICES, PC
Practice Location Address:
749 OCEAN PKWY
BROOKLYN, NY
11230-7813
Practice Phone: 718-769-8210
Practice Fax:
1417283771 — OCEAN GROUP MEDICAL, P.C.
Practice Location Address:
749 OCEAN PKWY , LOWER REAR
BROOKLYN, NY
11230-7813
Practice Phone: 347-627-9277
Practice Fax: 347-627-9275

Directions to “OCEAN PARKWAY MEDICAL, P.C. ” Practice Location

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