Organization
OFFICE BASED SURGERY ON THE BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG GUTNIK MD (MEDICAL DIRECTOR)
(718) 332-5678
Entity
Organization
Contact information
Practice address
1711 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-3651
(718) 332-5678
(718) 934-1780
Mailing address
1711 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-3651
(718) 332-5678
(718) 934-1780
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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