Organization Name: | AVENUE P MEDICAL SERVICES, PC |
NPI Number: | 1003138926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLEG GUTNIK (OWNER) |
Mailing Address: | 214 Avenue P Brooklyn |
State: | NY US |
Postal Code: | 112046573 |
Phone Number: | 2128459255 |
Fax Number: | 3476024674 |
NPI Enumeration Date: | 02/19/2010 |
NPI Last Update Date: | 07/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 163630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |