Organization
K & G ULTRASOUND DIAGNOSTIC MEDICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZINA GUBICH CDMS CUT CDCS (PRESIDENT GROUP ADMINISTRATOR)
(718) 421-6363
Entity
Organization
Contact information
Practice address
1452 FLATBUSH AVENUE, BROOKLYN, NY 11210
(718) 421-6363
(718) 421-6363
Mailing address
1452 FLATBUSH AVENUE, K & G ULTRASOUND DIAGNOSTIC MED LAB, BROOKLYN, NY 11210
(718) 421-6363
(941) 429-0260
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00718176
—
NY
01
—
84548
GHI
NY
01
—
97907
BC
NY
01
—
W93751
MEDICARE GLOBAL
NY
Enumeration date
07/26/2007
Last updated
07/26/2007
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