# BAYSIDE MEDICAL OFFICE PC

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

## Provider details

- **NPI number:** 1326343013
- **Authorized official:** NATALIE ORNOFF DO (OWNER)
- **Authorized official phone:** (718) 934-7960

## Contact information

- **Practice address:** 1616 VOORHIES AVE, STE \# D, BROOKLYN, NY 11235-3914
- **Practice address phone:** (718) 934-7960
- **Practice address fax:** (718) 934-7905
- **Mailing address:** 1616 VOORHIES AVE, STE \# D, BROOKLYN, NY 11235-3914
- **Mailing address phone:** (718) 934-7960
- **Mailing address fax:** (718) 934-7905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NY | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 01/11/2011