Williamsburg Primary Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

199910 Issued in NY

Legal business name

WILLIAMSBURG PRIMARY MEDICAL PC

Practice address

155 Powers St
Brooklyn, NY 11211-4973

Phone

(212) 686-6700

NPI assigned

Feb 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sergey Gabinsky

Title

Sole Owner

Phone

(212) 686-6700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1316088172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POWERS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POWERS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114973",
            "telephone_number": "212-686-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PRIMARY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "GABINSKY",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "212-686-6700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "199910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Nurse Practitioner in Psychiatry and Family Health PLLC
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• Williamsburg Physical Therapy P.C.
• Williamsburg Psychiatry Group, PLLC
• Williamsburg Psychological Services (Williamsburg Therapy Group)
• Williamsburg Services LLC (Bedford Center For Nursing and Rehabilitation)
• Williamsburg Smiles Family Dentistry PC
• Williamsburg Speaks Speech Language Pathology PLLC

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.