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NPI Code Detail

MEDICARE: EXPERT MEDICAL DIAGNOSTICS, PLLC

MEDICARE: EXPERT MEDICAL DIAGNOSTICS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center230304NY

General Provider Information

NPI Number : 1013214089
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPERT MEDICAL DIAGNOSTICS, PLLC
Provider Business Mailing Address
First Line : 115 E 57TH ST STE 1450
Second Line :
City : NEW YORK
State : NY
Zip : 10022-2109
Country : US
Telephone Number : 212-203-6957
Fax Number : 212-203-6957
Provider Business Practice Location Address
First Line : 115 E 57TH ST STE 1450
Second Line :
City : NEW YORK
State : NY
Zip : 10022-2109
Country : US
Telephone Number : 212-203-6957
Fax Number : 212-203-6957
Authorized Official
Title or Position : OWNER
Name : DR. LUIZA FLORENTINA PETRE
Credential : MD
Telephone Number : 914-620-5755
Provider Enumeration Date : 02/27/2011
Last Update Date : 07/10/2024

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Directions to “EXPERT MEDICAL DIAGNOSTICS, PLLC ” Practice Location

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