Provider Demographics
NPI:1003127945
Name:GREGORY GIRSHIN MD LLC
Entity Type:Organization
Organization Name:GREGORY GIRSHIN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, PAIM MANAGEMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRSHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-775-8717
Mailing Address - Street 1:800 WOLFS LN
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2614
Mailing Address - Country:US
Mailing Address - Phone:718-775-8717
Mailing Address - Fax:347-673-7904
Practice Address - Street 1:248 AVENUE P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4934
Practice Address - Country:US
Practice Address - Phone:718-775-8717
Practice Address - Fax:347-673-7904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty