Provider Demographics
NPI:1275602203
Name:YEFIM ORNSTEIN M. D. P.C.
Entity Type:Organization
Organization Name:YEFIM ORNSTEIN M. D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEFIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ORNSYEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-376-2727
Mailing Address - Street 1:124 BAY 31ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-5204
Mailing Address - Country:US
Mailing Address - Phone:718-376-2727
Mailing Address - Fax:718-336-4343
Practice Address - Street 1:2072 OCEAN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7379
Practice Address - Country:US
Practice Address - Phone:718-376-2727
Practice Address - Fax:718-336-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218164207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02119166Medicaid
NY02119166Medicaid
NY40B532Medicare ID - Type Unspecified