MEDICARE: DRL SONO PLUS.INC

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
1	2085U0001X	Diagnostic Ultrasound Physician

General Provider Information

NPI Number	:	1871341768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRL SONO PLUS.INC

Provider Business Mailing Address
First Line	:	611 BANNER AVE APT 5D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6751
Country	:	US
Telephone Number	:	718-722-1229
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 BANNER AVE APT 5D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6751
Country	:	US
Telephone Number	:	718-722-1229
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MISS LEYLYA URILOVA
Credential	:	ETC
Telephone Number	:	718-722-1229

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	05/07/2024

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Directions to “DRL SONO PLUS.INC ” Practice Location

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