Provider Demographics
NPI:1972776359
Name:GS MEDICAL CONSULTING P.C.
Entity Type:Organization
Organization Name:GS MEDICAL CONSULTING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-295-7439
Mailing Address - Street 1:380 W PENN ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3935
Mailing Address - Country:US
Mailing Address - Phone:516-295-7439
Mailing Address - Fax:
Practice Address - Street 1:1234 W BROADWAY
Practice Address - Street 2:UNIT A
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1929
Practice Address - Country:US
Practice Address - Phone:516-295-7439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2008412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100024305Medicare PIN