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Organization

COMPREHENSIVE MEDICAL DIAGNOSTIC, PC

Active
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Organization

COMPREHENSIVE MEDICAL DIAGNOSTIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINA MIRBABAYEVA (MANAGER)
(347) 492-3500
Entity
Organization

Contact information

Practice address
2108 W 7TH ST, SUITE D, BROOKLYN, NY 11223-3754
(347) 492-3500
(347) 492-3499
Mailing address
2108 W 7TH ST, SUITE D, BROOKLYN, NY 11223-3754
(347) 492-3500
(347) 492-3499

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
NULL
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
NULL
2471V0105X
Vascular Sonography Radiologic Technologist
—
—

Other

Enumeration date
06/08/2009
Last updated
09/01/2011
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