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NPI Code Detail

MEDICARE: OCEAN MEDICAL DIAGNOSTICS P.C.

MEDICARE: OCEAN MEDICAL DIAGNOSTICS 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
1174400000XSpecialist215638NY
2174400000XSpecialist197845NY

General Provider Information

NPI Number : 1770770661
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN MEDICAL DIAGNOSTICS P.C.
Provider Business Mailing Address
First Line : 745 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1113
Country : US
Telephone Number : 718-677-7776
Fax Number : 718-859-5969
Provider Business Practice Location Address
First Line : 745 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1113
Country : US
Telephone Number : 718-677-7776
Fax Number : 718-859-5969
Authorized Official
Title or Position : PRESIDENT
Name : DR. MIRON FAYNGERSH
Credential : MD
Telephone Number : 718-677-7776
Provider Enumeration Date : 09/25/2007
Last Update Date : 09/25/2007

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Directions to “OCEAN MEDICAL DIAGNOSTICS P.C. ” Practice Location

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