| Brooklyn Gastroenterology Pc | |
|
1630 E 14th St Brooklyn NY 11229-1104 | |
| (718) 339-0391 | |
| (718) 339-6923 |
| Full Name | Brooklyn Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1630 E 14th St, Brooklyn, New York |
| Authorized Official Name and Position | Gary Gettenberg (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7183390391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Gastroenterology Pc 1630 E 14th St Brooklyn NY 11229-1104 Ph: (718) 339-0391 | Brooklyn Gastroenterology Pc 1630 E 14th St Brooklyn NY 11229-1104 Ph: (718) 339-0391 |
| NPI Number | 1407995541 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407995541 | NPI | - | NPPES |
| 02365671 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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