MEDICARE: NEBOLIT MEDICAL 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	207R00000X	Internal Medicine Physician	221566	NY

General Provider Information

NPI Number	:	1821171919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEBOLIT MEDICAL PC

Provider Business Mailing Address
First Line	:	4514 BEACH 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1002
Country	:	US
Telephone Number	:	718-663-8060
Fax Number	:

Provider Business Practice Location Address
First Line	:	4514 BEACH 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1002
Country	:	US
Telephone Number	:	718-663-8060
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	INNA GRISHINA
Credential	:	M.D.
Telephone Number	:	718-663-8060

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	09/13/2007

Similar Medicare Providers

1396852075 — INNA GRISHINA MD
Practice Location Address:

4514 BEACH 45TH ST
BROOKLYN, NY
11224-1002

Practice Phone: 718-663-8060
Practice Fax:

1518186766 — MR. VINCENT SCARCELLA M.S.,P.T
Practice Location Address:

4532 BEACH 45TH ST
BROOKLYN, NY
11224-1002

Practice Phone: 718-666-8515
Practice Fax:

1497750046 — DR. PRASAD R. GUDAVALLI MD
Practice Location Address:

7702 - 16TH AVE
BROOKLYN, NY
11214-1002

Practice Phone: 718-645-2929
Practice Fax: 718-621-4119

1508957770 — URSZULA MARIA SALITA M.D.
Practice Location Address:

1002 MANHATTAN AVE
BROOKLYN, NY
11222

Practice Phone: 718-389-8822
Practice Fax:

1255425948 — DR. NELSON SOCORRO MENEZES M.D.
Practice Location Address:

186 JORALEMON ST , SUITE 1002
BROOKLYN, NY
11201-4356

Practice Phone: 718-625-4100
Practice Fax: 718-625-4900

1740366012 — MICHAEL MELNICKE CATON PARK NURSING HOME
Practice Location Address:

1312 CATON AVE
BROOKLYN, NY
11226-1002

Practice Phone: 718-693-7000
Practice Fax: 718-284-2497

Directions to “NEBOLIT MEDICAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.