# EAST SHORE MEDICAL PC

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

## Provider details

- **NPI number:** 1477508315
- **Authorized official:** VLADIMIR GRESSEL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 646-7575

## Contact information

- **Practice address:** 122 W END AVE, BROOKLYN, NY 11235-4809
- **Practice address phone:** (718) 646-7575
- **Practice address fax:** (718) 646-7727
- **Mailing address:** 122 W END AVE, BROOKLYN, NY 11235-4809
- **Mailing address phone:** (718) 646-7575
- **Mailing address fax:** (718) 646-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 10/12/2007