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General NPI Number Information
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NPI Number | 1003127945
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Entity Type | Organization
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Legal Business Name | GREGORY GIRSHIN MD LLC
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 248 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11204-4934
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Country | US
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Telephone | 718-775-8717
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Fax | 347-673-7904
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Provider Business Mailing Address
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Address Line | 800 WOLFS LN
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City | PELHAM
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State | NY
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Zip | 10803-2614
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Country | US
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Telephone | 718-775-8717
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Fax | 347-673-7904
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Authorized Official
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Title or Position | PHYSICIAN, PAIM MANAGEMENT
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Name | DR. GREGORY GIRSHIN
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Credential | MD
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Telephone | 718-775-8717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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