SUPREME MEDICAL DIAGNOSTIC,P.C.
NPI 1093949893
General Practice in New York, NY

Active since May 07, 2009
215 E 68TH ST, SUITE 8, NEW YORK, NY 10065(212) 288-2553 Get Directions Write a Review

NPPES record last updated: May 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Supreme Medical Diagnostic,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME MEDICAL DIAGNOSTIC,P.C. (NPI 1093949893) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since May 2009. The organization lists Ilya Y Burshteyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1093949893
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUPREME MEDICAL DIAGNOSTIC,P.C.
Location Address215 E 68TH ST, SUITE 8New York, NY 10065-5718
Mailing Address215 E 68th St, Suite 8New York, NY 10065-5718 · (212) 288-2553
Organization SubpartNo
Authorized OfficialIlya Y BurshteynOwner · (212) 288-3474
Enumeration DateMay 7, 2009
Last NPPES UpdateMay 9, 2009
NPI 1093949893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
215 E 68TH ST, New York, NY 10065

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
215 E 68TH ST, SUITE 8
NEW YORK, NY 10065
Internal Medicine (Medical Oncology)
215 E 68TH ST
NEW YORK, NY 10065
Internal Medicine (Endocrinology, Diabetes & Metabolism)
215 E 68TH ST, SUITE # 8
NEW YORK, NY 10065
Specialist
215 E 68TH ST, SUITE 8
NEW YORK, NY 10065
Internal Medicine (Endocrinology, Diabetes & Metabolism)
215 E 68TH ST, SUITE 8
NEW YORK, NY 10065
Social Worker (Clinical)
215 E 68TH ST
NEW YORK, NY 10065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093949893, enumerated as an "organization" on May 07, 2009.

The provider is located at 215 E 68TH ST SUITE 8 NEW YORK, NY 10065 and the phone number is (212) 288-2553.

General Practice with taxonomy code 208D00000X.