MEDICARE: GENE MEISENBERG MEDICAL SERVICES P.C.

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1306022256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENE MEISENBERG MEDICAL SERVICES P.C.

Provider Business Mailing Address
First Line	:	1523 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3912
Country	:	US
Telephone Number	:	718-743-2200
Fax Number	:	718-743-6530

Provider Business Practice Location Address
First Line	:	1523 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3912
Country	:	US
Telephone Number	:	718-743-2200
Fax Number	:	718-743-6530

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GENE MEISENBERG
Credential	:
Telephone Number	:	718-743-2200

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	11/10/2014

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