Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Brooklyn Medical PC

Organization Specialist · NPI 1639575665

South Brooklyn Medical PC provides Specialist services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2119 E 15th St
Brooklyn, NY 11229-4314 Not confirmed with CMS for 11 years — call before visiting
Phone: (718) 975-2709
Fax: (718) 975-2709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 218261 (NY)

Record details

NPI number1639575665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grigory Shtender — President · (718) 975-2709
NPI enumeratedNovember 19, 2014
Last updated in NPPESNovember 19, 2014
Mailing address2119 E 15th St, Brooklyn, NY 11229-4314

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