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Organization
PDI MEDICAL PC
Active
Organization
PDI MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK V BURKE (TREASURER)
(646) 921-7211
Entity
Organization
Contact information
Practice address
544 PARK AVE STE 600, BROOKLYN, NY 11205-1600
(646) 924-7211
Mailing address
544 PARK AVE STE 600, BROOKLYN, NY 11205-1600
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191751
LICENSE
NY
Enumeration date
08/04/2011
Last updated
08/04/2011
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