Organization
NYMIS MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY PISKUN M.D. (PRESIDENT)
(718) 645-6304
Entity
Organization
Contact information
Practice address
1502 E 14TH ST, SUITE 2, BROOKLYN, NY 11230-7148
(718) 645-6304
Mailing address
1502 E 14TH ST, SUITE 2, BROOKLYN, NY 11230-7148
(718) 645-6304
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103577
GHI
NY
05
—
01934174
—
NY
01
—
13191
ELDERPLAN
NY
01
—
213636-NY
1199/NBF
NY
01
—
460H01
BCBS
NY
01
—
N74176
HEALTH NET
NY
01
—
P1876819
OXFORD
NY
Enumeration date
11/01/2006
Last updated
09/11/2025
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