Biana Gershkovich Slp PC
Exclusive Provider Organization in Brooklyn, NY. Organization (NPI-2).
NPI number1417242579
StatusActive
Last updated in NPPESJun 16, 2011
Details
- NPI
- 1417242579
- Entity type
- Organization (NPI-2)
- Legal business name
- Biana Gershkovich Slp PC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2011
- Last updated
- Jun 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 020159 | NY | Yes |
Practice location
3692 Bedford Avenue3a
Brooklyn, NY 11229
Phone 917-470-1060
Mailing address
3692 Bedford Avenue3a
Brooklyn, NY 11229
Phone 917-470-1060
Authorized official
Biana Gershkovich
President
9174701060
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