Gregory Suprin Md Pllc

NPI 1043428097 - Family Medicine - 207Q00000X

NPI Details
NPI 1043428097
Enumeration Date 05/21/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY GREGORY
Position PRESIDENT MEDICAL DIRECTOR
Phone (718) 498-3103
Fax (718) 498-3166
Practice Location
1381 LINDEN BLVD # B
BROOKLYN NY, 11212-4755, US
Phone (718) 498-3103
Fax (718) 498-3166
Business Location
1381 LINDEN BLVD # B
BROOKLYN NY, 11212-4755, US
Phone (718) 498-3103
Fax (718) 498-3166
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 230165
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According to our database, Gregory Suprin Md Pllc NPI is 1043428097, taxonomy code is 207Q00000X and license number is 230165, license state is located at New York. Gregory Suprin Md Pllc physically located at 1381 Linden Blvd # B, Brooklyn NY, 11212-4755. NPI Number 1033115704 has the healthcare provider type.

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1043428097 NPI number is provided on an as is basis without warranty of any kind. 1043428097 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Suprin Md Pllc are for informational purposes only.