Organization
DIVERSIFIED DIAGNOSTIC SERVICES MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL YUTSIS M.D. (PRESIDENT)
(718) 368-9555
Entity
Organization
Contact information
Practice address
3849 NOSTRAND AVE, BROOKLYN, NY 11235-2012
(718) 368-9555
Mailing address
3849 NOSTRAND AVE, BROOKLYN, NY 11235-2012
(718) 368-9555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166959
NY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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