Organization
AMERICAN MEDICAL DIAGNOSTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA ISRAEL MD (OWNER)
(718) 377-2834
Entity
Organization
Contact information
Practice address
1122 AVENUE P, BROOKLYN, NY 11229-1025
(718) 377-3948
Mailing address
2404 OCEAN PKWY, BROOKLYN, NY 11235-6108
(718) 782-6380
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
265876
NY
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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