Healthcare Provider Details
I. General information
NPI: 1982854329
Provider Name (Legal Business Name): ACCURATE DIAGNOSTIC LABS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2008
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1659 78 STREET SUITES 2B & LL
BROOKLYN NY
11214
US
IV. Provider business mailing address
1659 78 STREET SUITES 2B & LL
BROOKLYN NY
11214
US
V. Phone/Fax
- Phone: 718-236-3434
- Fax:
- Phone: 718-236-3434
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZINOVY
KERZHNER
Title or Position: PRESIDENT
Credential:
Phone: 347-782-8759