Healthcare Provider Details

I. General information

NPI: 1023276078
Provider Name (Legal Business Name): BRIAN A. PINSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 FRANKLIN AVENUE SUITE 300
GARDEN CITY NY
11530
US

IV. Provider business mailing address

999 FRANKLIN AVENUE SUITE 300
GARDEN CITY NY
11530
US

V. Phone/Fax

Practice location:
  • Phone: 516-742-3404
  • Fax: 516-535-6761
Mailing address:
  • Phone: 516-742-3404
  • Fax: 516-535-6761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number243917
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: