Provider Demographics
NPI:1215019377
Name:EXPERT MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:EXPERT MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN LOUIS
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:DUPITON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-276-7935
Mailing Address - Street 1:246-07 136TH ROAD
Mailing Address - Street 2:ROSEDALE, QUEENS
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422
Mailing Address - Country:US
Mailing Address - Phone:718-276-2932
Mailing Address - Fax:718-528-3327
Practice Address - Street 1:205 -14, SUITE 210
Practice Address - Street 2:FRANCIS LEWIS BLVD, ST ALBANS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11412
Practice Address - Country:US
Practice Address - Phone:718-276-7935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty