Provider Demographics
NPI:1023050473
Name:ORNSTEIN, YEFIM (MD)
Entity type:Individual
Prefix:
First Name:YEFIM
Middle Name:
Last Name:ORNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218264207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02119166Medicaid
NY02119166Medicaid
40B532Medicare ID - Type Unspecified