Healthcare Provider Details

I. General information

NPI: 1437567690
Provider Name (Legal Business Name): GENTLE TOUCH MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9708 SEAVIEW AVE
BROOKLYN NY
11236-5516
US

IV. Provider business mailing address

9708 SEAVIEW AVE
BROOKLYN NY
11236-5516
US

V. Phone/Fax

Practice location:
  • Phone: 718-444-0520
  • Fax: 718-444-1898
Mailing address:
  • Phone: 718-444-0520
  • Fax: 718-444-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RIMMA POZDNYAKOVA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-444-0520