Organization
VIKTOR GRIBENKO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKTOR GRIBENKO MD (PRESIDENT)
(718) 946-7967
Entity
Organization
Contact information
Practice address
170 AVENUE S, BROOKLYN, NY 11223-2633
(718) 946-7967
(718) 946-7964
Mailing address
170 AVENUE S, BROOKLYN, NY 11223-2633
(718) 946-7967
(718) 946-7964
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
211122
NY
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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