Organization
GREGORY SUPRIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SUPRIN M.D (PRESIDENT MEDICAL DIRECTOR)
(718) 498-3103
Entity
Organization
Contact information
Practice address
1381 LINDEN BLVD # B, BROOKLYN, NY 11212-4755
(718) 498-3103
(718) 498-3166
Mailing address
1381 LINDEN BLVD # B, BROOKLYN, NY 11212-4755
(718) 498-3103
(718) 498-3166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230165
NY
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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