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Organization
VISITING PHYSICIAN SERVICES OF NY
Active
Organization
VISITING PHYSICIAN SERVICES OF NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA BURSHTEYN MD (PRESIDENT)
(718) 275-1485
Entity
Organization
Contact information
Practice address
2625 E 14TH ST STE 201, BROOKLYN, NY 11235-3973
(718) 275-1485
(718) 332-7246
Mailing address
10106 QUEENS BLVD STE 2, FOREST HILLS, NY 11375-2749
(718) 275-1485
(718) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009320
NY
Other
Enumeration date
12/21/2006
Last updated
05/22/2008
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