MEDICARE: HOWARD MITCHELL ORKIN M.D..

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	148629	NY

General Provider Information

NPI Number	:	1417030883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD MITCHELL ORKIN M.D..

Provider Business Mailing Address
First Line	:	8605 FLATLANDS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3607
Country	:	US
Telephone Number	:	718-257-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	8605 FLATLANDS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3607
Country	:	US
Telephone Number	:	718-257-1500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	07/08/2007

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