# GONCHAROV MEDICAL, P.C.

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

## Provider details

- **NPI number:** 1831580091
- **Authorized official:** DIMITRY GONCHAROV (PRESIDENT)
- **Authorized official phone:** (212) 201-1217

## Contact information

- **Practice address:** 225 SAINT JOHNS PL \# PLACEC, BROOKLYN, NY 11217-3405
- **Practice address phone:** (718) 517-8833
- **Practice address fax:** (646) 843-7617
- **Mailing address:** 225 SAINT JOHNS PL \# PLACEC, BROOKLYN, NY 11217-3405
- **Mailing address phone:** (718) 517-8833
- **Mailing address fax:** (347) 529-5296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 269283 | NY | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 08/20/2024