Organization
STEADFAST SPECIFICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMUR TANKHOYEV (OFFICA MANAGER)
(917) 572-4297
Entity
Organization
Contact information
Practice address
1725 E 12TH ST, SUITE # 301, BROOKLYN, NY 11229-1028
(718) 336-1909
(718) 336-1929
Mailing address
1637 E 17TH ST, 1LT, BROOKLYN, NY 11229-1247
(917) 572-4297
(877) 287-6325
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D2034114
NY
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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