| Versalis Med Inc | |
|
2079 E 23rd St Ste C Brooklyn NY 11229-3627 | |
| (347) 909-3063 | |
| Not Available |
| Full Name | Versalis Med Inc |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 2079 E 23rd St Ste C, Brooklyn, New York |
| Authorized Official Name and Position | Kiran Khan (PRESIDENT/FOUNDER) |
| Authorized Official Contact | 3479093063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Versalis Med Inc 2079 E 23rd St Ste C Brooklyn NY 11229-3627 Ph: (347) 909-3063 | Versalis Med Inc 2079 E 23rd St Ste C Brooklyn NY 11229-3627 Ph: (347) 909-3063 |
| NPI Number | 1376138800 |
|---|---|
| Provider Enumeration Date | 03/06/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376138800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 291U00000X | Clinical Medical Laboratory | () | Primary |
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