Intelligent Medical Diagnostics PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

219418 Issued in NY

Legal business name

INTELLIGENT MEDICAL DIAGNOSTICS PC

Practice address

1384 E 19TH St
Suite 1
Brooklyn, NY 11230-6112

Phone

(718) 336-3005

Fax

(718) 336-3006

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Eugene Shteerman, M.D.

Title

Medical Doctor, Owner

Phone

(718) 336-3005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1972992055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 E 19TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306112",
            "telephone_number": "718-336-3005",
            "fax_number": "718-336-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 E 19TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306112",
            "telephone_number": "718-336-3005",
            "fax_number": "718-336-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENT MEDICAL DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "SHTEERMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR, OWNER",
        "authorized_official_telephone_number": "718-336-3005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "219418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.