NPI 1093949893

Supreme Medical Diagnostic,p.C.

Organisation General Practice Physician New York, NY

Practice location

Address: 215 E 68th St Suite 8, New York, NY 10065-5718
Phone: (212) 288-2553

Authorised official

Name: Ilya Y Burshteyn
Title: Owner
Phone: (212) 288-3474

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in New York →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in New York →

Registry record

NPI: 1093949893
Entity type: Organization
NPI issued: 7 May 2009
Record last updated: 9 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.