MIKHAIL GRZHIBEK, M.D., P.C.


Address: 285 Sills Rd Bldg 4, Suite D, East Patchogue, NY 11772-4869
Phone: 6316541800

MIKHAIL GRZHIBEK, M.D., P.C. (NPI# 1831444819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831444819
Entity Type Organization
Organization Name MIKHAIL GRZHIBEK, M.D., P.C.
Practice Address 285 Sills Rd Bldg 4
Suite D
East Patchogue
NY 11772-4869
Practice Telephone 6316541800
Practice Fax Number 6312409181
Mailing Telephone 6316541800
Mailing Fax Number 6312409181
Enumeration Date 2012-07-17
Last Update Date 2012-07-17
Authorized Official Name DR. MIKHAIL GRZHIBEK (PRESIDENT)
Authorized Official Telephone 9177502937
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
239339 NY Ambulatory Health Care Facilities

Office Location

Street Address 285 SILLS RD BLDG 4
SUITE D
City EAST PATCHOGUE
State NY
Zip Code 11772-4869

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1992297204 Camila Bueno-sanchez Student in an Organized Health Care Education/Training Program 676 S Country Rd, East Patchogue, NY 11772 2018-06-01
1184115859 Premier Endodontics of Patchogue Dentist 44 Medford Avenue, Patchogue, NY 11772 2018-05-29
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1508372335 Stephanie Vanschaick Counselor 450 Waverly Ave Ste 11, Patchogue, NY 11772 2017-12-15
1578074498 Chrystal Lee Curran Specialist 1116 Main Road, Aquebogue, NY 11772 2017-10-18
1013457712 Candyce Fahner Registered Nurse 22 Haig Ave, E Patchogue, NY 11772 2017-02-28
1992251631 Vanessa Lynn Petoello Nurse Practitioner 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 2016-09-01
1811343809 Andrew Vanderlofske Nurse Practitioner 144 North Ocean Avenue, Patchogue, NY 11772 2016-05-09
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City EAST PATCHOGUE
Zip Code 11772

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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