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General NPI Number Information
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NPI Number | 1679624993
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Entity Type | Organization
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Legal Business Name | SERGEY GABINSKY MEDICAL PC
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 229 PARKVILLE AVE SUITE 1
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City | BROOKLYN
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State | NY
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Zip | 11230-1373
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Country | US
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Telephone | 718-421-1200
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Fax | 718-421-6573
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Provider Business Mailing Address
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Address Line | 22 COLERIDGE ST
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City | BROOKLYN
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State | NY
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Zip | 11235-4106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SERGEY GABINSKY
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Credential | M.D.
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Telephone | 718-421-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 199910
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License Number State | NY
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