Organization
GREGORY BIRCH D.P.M
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M BIRCH D.P.M (OWNER)
(718) 232-6737
Entity
Organization
Contact information
Practice address
6419 BAY PKWY, BROOKLYN, NY 11204-3930
(718) 232-6737
(718) 331-9709
Mailing address
6419 BAY PKWY, BROOKLYN, NY 11204-3930
(718) 232-6737
(718) 331-9709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N002931
NY
332B00000X
Durable Medical Equipment & Medical Supplies
N002931
NY
332BC3200X
Customized Equipment (DME)
Primary
N002931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00405321
—
NY
Enumeration date
12/04/2007
Last updated
06/16/2008
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