Active NPIIndividual providerSole proprietor

Dmitri Petrychenko, MD

Pain Medicine, Interventional Pain Medicine in Brooklyn, New York

NPI Number1588644272
Practice location
2960 Ocean Ave Fl 6, Brooklyn, NY 11235-3202
Fax
718-336-5137
Last updated
August 16, 2023

Dmitri Petrychenko is a Pain Medicine, Interventional Pain Medicine based in Brooklyn, NY. Dmitri Petrychenko practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Dmitri Petrychenko is 1588644272 and holds a License No. 227434 (NY). The current practice location address for Dmitri Petrychenko is 2960 Ocean Ave Fl 6, Brooklyn, NY 11235-3202 and can be reached out via phone at 718-336-5123 and via fax at 718-336-5137.

Provider Profile Details

NPI Number
1588644272
Provider Name
Dmitri Petrychenko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2960 Ocean Ave Fl 6, Brooklyn, NY 11235-3202
Phone Number
718-336-5123
Fax Number
718-336-5137
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2006
Last Update Date
August 16, 2023
Certification Date
August 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2960 Ocean Ave Fl 6
Brooklyn, NY 11235-3202
Zip
11235-3202
Phone Number
718-336-5123
Fax Number
718-336-5137
Brooklyn, NY 11235Get directions →

Provider Business Mailing Address Details

Address
2960 Ocean Ave Fl 6
Brooklyn, NY 11235-3202
City
Brooklyn
State
NY
Zip
11235-3202
Phone Number
718-336-5123
Fax Number
718-336-5137

License Information

License Number (1)
227434
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X
License Number (2)
25MA07665400
License State (2)
NJ
License Number (3)
ME107824
License State (3)
FL
License Number (4)
227434
License State (4)
NY
Taxonomy (4)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dmitri Petrychenko, MD?

The NPI number of Dmitri Petrychenko, MD is 1588644272. It was assigned on January 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dmitri Petrychenko, MD?

Dmitri Petrychenko, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in NY under license number 227434.

Where does Dmitri Petrychenko, MD practice?

The practice location is 2960 Ocean Ave Fl 6, Brooklyn, NY 11235-3202. The office can be reached at 718-336-5123 (phone) or 718-336-5137 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588644272 directly on the NPPES registry website.

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