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Organization
EAST SHORE MEDICAL PC
Active
Organization
EAST SHORE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR GRESSEL MD (MEDICAL DIRECTOR)
(718) 646-7575
Entity
Organization
Contact information
Practice address
122 W END AVE, BROOKLYN, NY 11235-4809
(718) 646-7575
(718) 646-7727
Mailing address
122 W END AVE, BROOKLYN, NY 11235-4809
(718) 646-7575
(718) 646-7727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/22/2006
Last updated
10/12/2007
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