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Organization
OCEAN PARKWAY MEDICAL, P.C.
Active
Organization
OCEAN PARKWAY MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA INGBERMAN M.D. (INTERNAML MEDICINE/MEDICAL DIRECTOR)
(718) 724-0900
Entity
Organization
Contact information
Practice address
749 OCEAN PKWY, BROOKLYN, NY 11230-7813
(718) 724-0900
(718) 724-1590
Mailing address
749 OCEAN PKWY, BROOKLYN, NY 11230-7813
(718) 724-0900
(718) 724-1590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
205927
NY
207R00000X
Internal Medicine Physician
Primary
200551
NY
213E00000X
Podiatrist
N005775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02357775
—
NY
Enumeration date
06/15/2005
Last updated
11/13/2007
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