# DR GREGORY SHIFRIN OBGYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154407013
- **Authorized official:** MR. GREGORY SHIFRIN M.D. (OWNER)
- **Authorized official phone:** (718) 743-0505

## Contact information

- **Practice address:** 1766 E 12TH STREET, BROOKLYN, NY 11229
- **Practice address phone:** (718) 743-0505
- **Practice address fax:** (718) 339-0760
- **Mailing address:** 1766 E 12TH STREET, BROOKLYN, NY 11229
- **Mailing address phone:** (718) 743-0505
- **Mailing address fax:** (718) 339-0760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 202259 | NY | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 09/27/2013
