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Organization
TRISTATE NY DIAGNOSTICS INC
Active
Organization
TRISTATE NY DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMAZ MITAISHVILI (PRESIDENT)
(718) 336-2753
Entity
Organization
Contact information
Practice address
2464 CONEY ISLAND AVE, 3 FLOOR, BROOKLYN, NY 11223-5022
(718) 336-2753
(718) 339-0170
Mailing address
2464 CONEY ISLAND AVE, 3 FLOOR, BROOKLYN, NY 11223-5022
(718) 336-2753
(718) 339-0170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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