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NPI Code Detail

MEDICARE: DIGESTIVE DISEASE MEDICAL CARE OF NY,P.C.

MEDICARE: DIGESTIVE DISEASE MEDICAL CARE OF NY,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
1207RG0100XGastroenterology Physician207278NY

General Provider Information

NPI Number : 1518172311
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGESTIVE DISEASE MEDICAL CARE OF NY,P.C.
Provider Business Mailing Address
First Line : 1616 VOORHIES AVE
Second Line : SUITE A
City : BROOKLYN
State : NY
Zip : 11235-3914
Country : US
Telephone Number : 718-332-5678
Fax Number : 718-332-7739
Provider Business Practice Location Address
First Line : 1616 VOORHIES AVE
Second Line : SUITE A
City : BROOKLYN
State : NY
Zip : 11235-3914
Country : US
Telephone Number : 718-332-5678
Fax Number : 718-332-7739
Authorized Official
Title or Position : DOCTOR
Name : ZHANNA VALERIEVNA GUTNIK
Credential : MD
Telephone Number : 718-332-5678
Provider Enumeration Date : 05/14/2007
Last Update Date : 09/16/2015

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Directions to “DIGESTIVE DISEASE MEDICAL CARE OF NY,P.C. ” Practice Location

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