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NPI Code Detail

MEDICARE: PITKIN MEDICAL DIAGNOSTICS P.C.

MEDICARE: PITKIN MEDICAL DIAGNOSTICS P.C.
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
12471M1202XMagnetic Resonance Imaging Radiologic TechnologistNY

General Provider Information

NPI Number : 1760718720
Entity Type Code : Organization
Provider Name (Legal Business Name) : PITKIN MEDICAL DIAGNOSTICS P.C.
Provider Business Mailing Address
First Line : 1533 PITKIN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-4516
Country : US
Telephone Number : 718-354-8804
Fax Number : 718-577-5140
Provider Business Practice Location Address
First Line : 1533 PITKIN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-4516
Country : US
Telephone Number : 718-354-8804
Fax Number : 718-577-5140
Authorized Official
Title or Position : MANAGER
Name : NINA M
Credential :
Telephone Number : 718-354-8804
Provider Enumeration Date : 10/27/2009
Last Update Date : 10/27/2009

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1043479538 — ZOYA PHARMACY INC
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1932421005 — STEPHEN CHAO
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1851860993 — DR. MICHELLE SARAH YUSUPOV ND
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Directions to “PITKIN MEDICAL DIAGNOSTICS P.C. ” Practice Location

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