Organization
OCEAN RENAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE BENTSIANOV MD (OWNER)
(718) 996-3360
Entity
Organization
Contact information
Practice address
40 WEST BRIGHTON AVE, 103, BROOKLYN, NY 11224-4901
(718) 996-2230
Mailing address
40 W BRIGHTON AVE, 103, BROOKLYN, NY 11224-4902
(718) 996-2260
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
210753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5308
RAIL ROAD MEDICARE
NY
Enumeration date
02/01/2007
Last updated
09/17/2014
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