Organization
LIFESTYLE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY GABINSKY M.D. (PRESIDENT)
(646) 544-7198
Entity
Organization
Contact information
Practice address
3350 NOSTRAND AVE, BROOKLYN, NY 11229-4004
(646) 544-7198
(718) 504-4036
Mailing address
3350 NOSTRAND AVE, BROOKLYN, NY 11229-4004
(646) 544-7198
(718) 504-4036
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
199910-1
NY
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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