MEDICARE: ANTON P GINZBURG DPM PC

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	261QP1100X	Podiatric Clinic/Center	4554-1 NY	NY

General Provider Information

NPI Number	:	1689844987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTON P GINZBURG DPM PC

Provider Business Mailing Address
First Line	:	3007 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8053
Country	:	US
Telephone Number	:	718-714-4396
Fax Number	:

Provider Business Practice Location Address
First Line	:	3007 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8053
Country	:	US
Telephone Number	:	718-714-4396
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTON P GINZBURG
Credential	:	DPM
Telephone Number	:	516-668-1038

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	03/03/2008

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