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NPI Code Detail

MEDICARE: OCEAN GROUP MEDICAL, P.C.

MEDICARE: OCEAN GROUP MEDICAL, 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
1207R00000XInternal Medicine Physician199910NY

General Provider Information

NPI Number : 1417283771
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN GROUP MEDICAL, P.C.
Provider Business Mailing Address
First Line : 749 OCEAN PKWY
Second Line : LOWER REAR
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 347-627-9277
Fax Number : 347-627-9275
Provider Business Practice Location Address
First Line : 749 OCEAN PKWY
Second Line : LOWER REAR
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 347-627-9277
Fax Number : 347-627-9275
Authorized Official
Title or Position : PRESIDENT
Name : SERGEY GABINSKY
Credential : M.D.
Telephone Number : 347-627-9277
Provider Enumeration Date : 10/21/2009
Last Update Date : 10/21/2009

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