Healthcare Provider Details

I. General information

NPI: 1366456238
Provider Name (Legal Business Name): PIOTR GORECKI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 6TH ST
BROOKLYN NY
11215-3609
US

IV. Provider business mailing address

506 6TH ST
BROOKLYN NY
11215-3609
US

V. Phone/Fax

Practice location:
  • Phone: 718-780-3288
  • Fax: 718-780-3154
Mailing address:
  • Phone: 718-780-3288
  • Fax: 718-780-3154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number208502
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: