| Mikhail Grzhibek, M.d., P.c. | |
|
285 Sills Rd Bldg 4 Suite D East Patchogue NY 11772-4869 | |
| (631) 654-1800 | |
| (631) 240-9181 |
| Full Name | Mikhail Grzhibek, M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 285 Sills Rd Bldg 4, East Patchogue, New York |
| Authorized Official Name and Position | Mikhail Grzhibek (PRESIDENT) |
| Authorized Official Contact | 9177502937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikhail Grzhibek, M.d., P.c. 285 Sills Rd Bldg 4 Suite D East Patchogue NY 11772-4869 Ph: (631) 654-1800 | Mikhail Grzhibek, M.d., P.c. 285 Sills Rd Bldg 4 Suite D East Patchogue NY 11772-4869 Ph: (631) 654-1800 |
| NPI Number | 1831444819 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/17/2012 |
| Medicare PECOS PAC ID | 5193975670 |
|---|---|
| Medicare Enrollment ID | O20121018000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831444819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 239339 (New York) | Primary |
| Provider Name | Mikhail Grzhibek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629033709 PECOS PAC ID: 3779588835 Enrollment ID: I20060922000408 |
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