Organization
GREGORY SUPRIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SUPRIN (MD)
(718) 498-3103
Entity
Organization
Contact information
Practice address
1381B LINDEN BLVD, BROOKLYN, NY 11212-4701
(718) 498-3103
Mailing address
1381B LINDEN BLVD, BROOKLYN, NY 11212-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230165
NY
Other
Enumeration date
03/13/2007
Last updated
11/27/2007
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