Organization
ULTRALINE MEDICAL TESTING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MASTER. M.D. (PRESIDENT)
(718) 942-5440
Entity
Organization
Contact information
Practice address
3048 BRIGHTON 1ST ST., FLOOR 5, BROOKLYN, NY 11235
(718) 942-5440
(718) 942-5442
Mailing address
3048 BRIGHTON 1ST STREET, 5TH FLOOR, BROOKLYN, NY 11235
(718) 942-5440
(718) 942-5442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
240456
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2784921
—
NY
Enumeration date
06/17/2008
Last updated
06/25/2024
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