MEDICARE: FLATLANDS ORTHOPEDIC MEDICAL CARE, 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	207X00000X	Orthopaedic Surgery Physician	186331	NY

General Provider Information

NPI Number	:	1427100247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLATLANDS ORTHOPEDIC MEDICAL CARE, P.C.

Provider Business Mailing Address
First Line	:	280 HALF HOLLOW RD
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-5865
Country	:	US
Telephone Number	:	631-547-8879
Fax Number	:	631-547-1008

Provider Business Practice Location Address
First Line	:	4526 FLATLANDS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3011
Country	:	US
Telephone Number	:	718-759-9120
Fax Number	:	718-677-6538

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREGORY PERRIER
Credential	:	M.D.
Telephone Number	:	718-759-9120

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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