Organization
PM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA GABINSKAYA (ATTENDING)
(718) 531-6660
Entity
Organization
Contact information
Practice address
2378 RALPH AVE, BROOKLYN, NY 11234-5515
(718) 531-6660
(718) 531-6662
Mailing address
2378 RALPH AVE, BROOKLYN, NY 11234-5515
(718) 531-6660
(718) 531-6662
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
203607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01952405
—
NY
Enumeration date
05/20/2010
Last updated
05/20/2010
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