Organization
NORTH STAR MEDICAL PC
Active
Organization
NORTH STAR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRON FAYNGERSH MD (MEDICAL DIRECTOR)
(718) 943-0008
Entity
Organization
Contact information
Practice address
1408 OCEAN AVE, 3RD FLOOR, BROOKLYN, NY 11230-3803
(718) 943-0008
(347) 554-8464
Mailing address
2615 E 16TH ST, 2ND FLOOR, BROOKLYN, NY 11235-3805
(718) 943-0008
(347) 554-8464
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
52754
NY
207X00000X
Orthopaedic Surgery Physician
Primary
52754
NY
Other
Enumeration date
05/18/2006
Last updated
07/20/2010
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