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NPI Code Detail

MEDICARE: GREGORY GIRSHIN MD LLC

MEDICARE: GREGORY GIRSHIN MD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1003127945
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREGORY GIRSHIN MD LLC
Provider Business Mailing Address
First Line : 800 WOLFS LN
Second Line :
City : PELHAM
State : NY
Zip : 10803-2614
Country : US
Telephone Number : 718-775-8717
Fax Number : 347-673-7904
Provider Business Practice Location Address
First Line : 248 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-4934
Country : US
Telephone Number : 718-775-8717
Fax Number : 347-673-7904
Authorized Official
Title or Position : PHYSICIAN, PAIM MANAGEMENT
Name : DR. GREGORY GIRSHIN
Credential : MD
Telephone Number : 718-775-8717
Provider Enumeration Date : 06/25/2010
Last Update Date : 06/25/2010

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