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Organization

LEBGUTT MEDICAL OF BROOKLYN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE GIANNIKAS (OWNER)
(718) 951-8800
Entity
Organization

Contact information

Practice address
2555 NOSTRAND AVE, BROOKLYN, NY 11210-4730
(718) 951-8800
(718) 951-0846
Mailing address
2555 NOSTRAND AVE, BROOKLYN, NY 11210-4730
(718) 951-8800
(718) 951-0846

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
157526-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
157526-1
LICENSE#
NY
Enumeration date
05/13/2016
Last updated
05/13/2016
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