Provider Demographics
NPI:1306022256
Name:GENE MEISENBERG MEDICAL SERVICES P.C.
Entity Type:Organization
Organization Name:GENE MEISENBERG MEDICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-743-2200
Mailing Address - Street 1:1523 VOORHIES AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3912
Mailing Address - Country:US
Mailing Address - Phone:718-743-2200
Mailing Address - Fax:718-743-6530
Practice Address - Street 1:1523 VOORHIES AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3912
Practice Address - Country:US
Practice Address - Phone:718-743-2200
Practice Address - Fax:718-743-6530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWYPXQ1Medicare PIN
NY6141620001Medicare NSC