Universal Idtf Services Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

UNIVERSAL IDTF SERVICES INC

Practice address

251 E 5TH St
Suite C104
Brooklyn, NY 11218-2403

Phone

(718) 338-6300

Fax

(347) 710-1969

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Marina Rabinovich

Title

President

Phone

(718) 338-6300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1982923025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E 5TH ST",
            "address_2": "SUITE C104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182403",
            "telephone_number": "718-338-6300",
            "fax_number": "347-710-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E 5TH ST",
            "address_2": "SUITE C104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182403",
            "telephone_number": "718-338-6300",
            "fax_number": "347-710-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL IDTF SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "RABINOVICH",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-338-6300"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brooklyn, NY
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.