MEDICARE: GREENE AVENUE 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	173000000X	Legal Medicine	162991	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891831988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENE AVENUE MEDICAL PC

Provider Business Mailing Address
First Line	:	1350 GREENE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-4902
Country	:	US
Telephone Number	:	718-628-8216
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 GREENE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-4902
Country	:	US
Telephone Number	:	718-628-8216
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	GASTON STERLIN
Credential	:
Telephone Number	:	718-628-8216

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1689014292 — WYLENE BARTON SAMAD NP
Practice Location Address:

1350 GREENE AVE FL 2
BROOKLYN, NY
11237-4902

Practice Phone: 718-628-1407
Practice Fax:

1811431323 — GREENE AVENUE MEDICAL, PC
Practice Location Address:

1350 GREENE AVE FL 2
BROOKLYN, NY
11237-4902

Practice Phone: 718-628-8216
Practice Fax: 718-628-4755

1063406486 — DR. ALEKSANDR V. ROZENBERG M.D.
Practice Location Address:

40 W BRIGHTON AVE
BROOKLYN, NY
11224-4902

Practice Phone: 718-627-8300
Practice Fax: 718-627-8302

1497745590 — NEPHROLOGY FOUNDATION OF BKLYN
Practice Location Address:

342 FLATBUSH AVE
BROOKLYN, NY
11238-4902

Practice Phone: 718-857-3000
Practice Fax: 718-857-6403

1932169307 — IRINA BERLIN MD
Practice Location Address:

40 W BRIGHTON AVE , SUITE # 104
BROOKLYN, NY
11224-4902

Practice Phone: 718-627-8300
Practice Fax: 718-627-8302

1932215357 — CHIKA OGUAGHA M.D.
Practice Location Address:

342 FLATBUSH AVE , NEPHROLOGY FOUNDATION OF BROOKLYN
BROOKLYN, NY
11238-4902

Practice Phone: 718-857-3000
Practice Fax: 718-857-6210

Directions to “GREENE AVENUE 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.