GRIGORY ORENBAKH


Address: 1725 E 12th St Ste 201, Brooklyn, NY 11229-1068
Phone: 7182831918

GRIGORY ORENBAKH (NPI# 1366533754) 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) 1366533754
Entity Type Individual
Full Name GRIGORY ORENBAKH
Credential PH.D.
Practice Address 1725 E 12th St Ste 201
Brooklyn
NY 11229-1068
Mailing Address 853 Talbot Ave
Valley Stream
NY 11581-3111
Practice Telephone 7182831918
Mailing Telephone 7182831918
Enumeration Date 2006-09-28
Last Update Date 2015-01-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
014896 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02204608 05

Office Location

Street Address 1725 E 12TH ST STE 201
City BROOKLYN
State NY
Zip Code 11229-1068

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11229

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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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