Organization
NEW YORK COMPREHENSIVE NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY SHMERKOVICH DO (OWNER)
(646) 641-8292
Entity
Organization
Contact information
Practice address
55 GREENE AVE, BROOKLYN, NY 11238-6406
(646) 641-8292
Mailing address
2711 AVENUE X APT 3E, BROOKLYN, NY 11235-2028
(646) 641-8292
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
258729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258729
LISCENCE
NY
Enumeration date
08/15/2013
Last updated
03/20/2015
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