Organization
GREENE AVENUE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASTON STERLIN (SOLE PROPRIETOR)
(718) 628-8216
Entity
Organization
Contact information
Practice address
1350 GREENE AVE, BROOKLYN, NY 11237-4902
(718) 628-8216
Mailing address
1350 GREENE AVE, BROOKLYN, NY 11237-4902
(718) 628-8216
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
162991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00907153
—
NY
Enumeration date
01/29/2007
Last updated
08/22/2020
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