| Main Street Diagnostic Inc | |
|
6854 Main St Flushing NY 11367-1325 | |
| (646) 210-1000 | |
| Not Available |
| Full Name | Main Street Diagnostic Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6854 Main St, Flushing, New York |
| Authorized Official Name and Position | Ninel Davidov (PRESIDENT) |
| Authorized Official Contact | 6462101000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Diagnostic Inc 6854 Main St Flushing NY 11367-1325 Ph: (646) 210-1000 | Main Street Diagnostic Inc 6854 Main St Flushing NY 11367-1325 Ph: (646) 210-1000 |
| NPI Number | 1487968343 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487968343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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