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Organization
SHORE MEDICAL PC
Active
Organization
SHORE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDR ORLOVSKIY MD (MD)
(718) 616-0500
Entity
Organization
Contact information
Practice address
2865 BRIGHTON 3RD ST, BROOKLYN, NY 11235-6762
(718) 891-4400
Mailing address
3632 NOSTRAND AVE STE 3, BROOKLYN, NY 11229-5308
(718) 616-0500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
250379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03046100
—
NY
Enumeration date
05/01/2014
Last updated
03/31/2023
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