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SOUTH SHORE OSTEOPATHIC MEDICINE P.C.
NPI 1063768174
Clinic/Center - Primary Care in Brooklyn, NY

Active since July 26, 2012
2409 OCEAN AVE UNIT 1F, BROOKLYN, NY 11229(718) 444-7774(718) 444-7775 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Shore Osteopathic Medicine P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE OSTEOPATHIC MEDICINE P.C. (NPI 1063768174) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since July 2012. The organization lists Michael Yuryev, President, as its authorized official.

NPPES Registry Identity

NPI1063768174
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTH SHORE OSTEOPATHIC MEDICINE P.C.
Location Address2409 OCEAN AVE UNIT 1FBrooklyn, NY 11229-3576
Mailing Address2409 Ocean Ave Unit 1fBrooklyn, NY 11229-3576 · (718) 444-7774 · Fax (718) 444-7775
Phone(718) 444-7774
Fax(718) 444-7775
Organization SubpartNo
Authorized OfficialMichael YuryevPresident · (718) 444-7774
Enumeration DateJuly 26, 2012
Last NPPES UpdateOctober 4, 2019
✔ NPI 1063768174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 254873
2409 OCEAN AVE UNIT 1F, Brooklyn, NY 11229
Open in Google Maps ↗

Other Identifiers 1

OtherA100073001NY · Medicare Ptan

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. INNA N YURYEV-GOLGER MD
Psychiatry & Neurology (Psychiatry)
2409 OCEAN AVE UNIT 1F
BROOKLYN, NY 11229
Kings County (718) 616-2073
MEGAN EDWARDS PA-C
Physician Assistant
2409 OCEAN AVE UNIT 1F
BROOKLYN, NY 11229
Kings County (718) 444-7774
ART OF MEDICINE, P.C.
Psychiatry & Neurology (Addiction Psychiatry)
2409 OCEAN AVE UNIT 1F
BROOKLYN, NY 11229
Kings County (718) 444-7774
IRINA GUTKIN
Nurse Practitioner (Family)
2409 OCEAN AVE UNIT 1F
BROOKLYN, NY 11229
Kings County (718) 444-7774
ANNMARIE KOSIEWSKA PA
Psychiatry & Neurology (Psychiatry)
2409 OCEAN AVE UNIT 1F
BROOKLYN, NY 11229
Kings County (718) 444-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore Osteopathic Medicine P.C.'s NPI number?

The NPI number for South Shore Osteopathic Medicine P.C. is 1063768174. It was assigned to this organization in the NPPES registry on July 26, 2012.

Where is South Shore Osteopathic Medicine P.C. located?

South Shore Osteopathic Medicine P.C. is located at 2409 Ocean Ave Unit 1F, Brooklyn, NY 11229. The listed phone number is (718) 444-7774.

What is South Shore Osteopathic Medicine P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for South Shore Osteopathic Medicine P.C. was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.