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Organization

NYC MEDICAL AND NEURODIAGNOSTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DMITRIY V KOLESNIK MD (PRESIDENT)
(718) 275-7860
Entity
Organization

Contact information

Practice address
6318 AUSTIN ST, REGO PARK, NY 11374-2923
(718) 275-7860
(718) 275-7882
Mailing address
6318 AUSTIN ST, REGO PARK, NY 11374-2923
(718) 275-7860
(718) 275-7882

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
07/12/2006
Last updated
01/04/2019
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