Organization
PAVEL GOZENPUT MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL GOZENPUT MD (PRESIDENT)
(718) 344-4474
Entity
Organization
Contact information
Practice address
2083 E 65TH ST, BROOKLYN, NY 11234-5913
(718) 444-5105
(718) 444-5107
Mailing address
2083 E 65TH ST, BROOKLYN, NY 11234-5913
(718) 444-5105
(718) 444-5107
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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