Organization
NP IN ADULT HEALTH DIAGNOSTIC AND TREATMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER E ISTOMIN MD MD, MS, MS (MEDICAL ADMINISTRATOR)
(718) 554-1150
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, 2E, ELMHURST, NY 11373-4575
(718) 554-1150
Mailing address
8708 JUSTICE AVE, 2E, ELMHURST, NY 11373-4575
(718) 554-1150
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
304254
NY
163W00000X
Registered Nurse
533201
NY
163WD0400X
Diabetes Educator Registered Nurse
304254
NY
163WG0000X
General Practice Registered Nurse
Primary
304254
NY
207P00000X
Emergency Medicine Physician
242862
ZZ
2083P0901X
Public Health & General Preventive Medicine Physician
242862
ZZ
291U00000X
Clinical Medical Laboratory
33D1092118
NY
Other
Enumeration date
07/19/2012
Last updated
06/09/2015
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