Healthcare Provider Details

I. General information

NPI: 1871723312
Provider Name (Legal Business Name): PRECISE DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041A OYSTER BAY RD
EAST NORWICH NY
11732-1062
US

IV. Provider business mailing address

1041A OYSTER BAY RD
EAST NORWICH NY
11732-1062
US

V. Phone/Fax

Practice location:
  • Phone: 718-928-5447
  • Fax:
Mailing address:
  • Phone: 516-584-6998
  • Fax: 516-584-6999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number225561
License Number StateNY

VIII. Authorized Official

Name: MR. ARIF HAMEED
Title or Position: PRESIDENT
Credential: MD.
Phone: 718-450-2443