Electro Diagnostics

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

ELECTRO DIAGNOSTICS

Practice address

105 Neptune Ave FL 1
Brooklyn, NY 11235-5350

Phone

(347) 702-0977

NPI assigned

Sep 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Grigori Komissarchuk

Title

President

Phone

(347) 702-0977

Specialties & licenses 1

Addresses

Other names 1

• Electromedical Diagnostics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1023327616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEPTUNE AVE 1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355350",
            "telephone_number": "347-702-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEPTUNE AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355350",
            "telephone_number": "347-702-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRO DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "KOMISSARCHUK",
        "authorized_official_first_name": "GRIGORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-702-0977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Electromedical Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann Eldomyati, RN
• Eldorado Home Health Services Inc.
• Laura Eldridge
• Uchenna Johnson Eleam, MD
• Electra Health Medical PC
• Khaled Houssein Eleesily, PT,DPT
• Shoshana Elefant
• Joann Elefantis, BCBA/LBA
• Kirsten Elefterakis, N.P.
• Michael Elefterakis

• Other Technician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Other Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.