SUPREME MEDICAL DIAGNOSTICP.C. NPI 1093949893

NPI Information

SUPREME MEDICAL DIAGNOSTIC,P.C. is a general practice in New York, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SUPREME MEDICAL DIAGNOSTIC,P.C. NPI is 1093949893. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 E 68TH ST
SUITE 8
NEW YORK, NY
ZIP 10065-718
Phone: (212) 288-2553

The provider's authorized official is Ilya Y Burshteyn .
The authorized official title is Owner and has the following contact phone number (212) 288-3474.

The enumeration date for this NPI number is 5/7/2009 and was last updated on 5/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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