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Organization
FAR ROCKAWAY MEDICAL PC
Active
Organization
FAR ROCKAWAY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY GABINSKY (OWNER)
(718) 327-5400
Entity
Organization
Contact information
Practice address
714 BEACH 20TH ST, FAR ROCKAWAY, NY 11691
(212) 686-6700
Mailing address
714 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-5400
(718) 327-5434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
199910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199910-B79
HEALTH FIRST
NY
01
—
2546746
AETNA HMO
NY
01
—
2602083
GHI
NY
01
—
4C6779
HEALTH NET
NY
01
—
5227079
AETNA PPO
NY
01
—
534733
EMPIRE BCBS
NY
01
—
54094N
CIGNA
NY
01
—
BK0004505
AMERICHOICE
NY
01
—
P480275
OXFORD
NY
Enumeration date
05/03/2007
Last updated
10/27/2009
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