Organization
GREGORY M. BIRCH DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BIRCH D.P.M (OWNER)
(718) 232-6737
Entity
Organization
Contact information
Practice address
6417 BAY PKWY, BROOKLYN, NY 11204-4072
(718) 232-6737
(718) 234-0994
Mailing address
6417 BAY PKWY, BROOKLYN, NY 11204-4072
(718) 232-6737
(718) 234-0994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N002931
NY
332BC3200X
Customized Equipment (DME)
N002931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00405321
—
NY
Enumeration date
01/02/2008
Last updated
02/21/2017
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