Organization
ELECTRO DIAGNOSTICS
Active
Other names
Electromedical Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRIGORI KOMISSARCHUK (PRESIDENT)
(347) 702-0977
Entity
Organization
Contact information
Practice address
105 NEPTUNE AVE FL 1, BROOKLYN, NY 11235-5350
(347) 702-0977
Mailing address
105 NEPTUNE AVE 1ST FLOOR, BROOKLYN, NY 11235-5350
(347) 702-0977
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
12/10/2010
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