Provider Demographics
NPI:1013214089
Name:EXPERT MEDICAL DIAGNOSTICS, PLLC
Entity Type:Organization
Organization Name:EXPERT MEDICAL DIAGNOSTICS, PLLC
Other - Org Name:EXPERT MEDICAL DIAGNOSTICS, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIZA
Authorized Official - Middle Name:FLORENTINA
Authorized Official - Last Name:PETRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-620-5755
Mailing Address - Street 1:115 E 57TH ST STE 1450
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2109
Mailing Address - Country:US
Mailing Address - Phone:021-220-3695
Mailing Address - Fax:917-423-0433
Practice Address - Street 1:115 E 57TH ST STE 1450
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2109
Practice Address - Country:US
Practice Address - Phone:021-220-3695
Practice Address - Fax:917-423-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-27
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230304261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty