Provider Demographics
NPI:1215538863
Name:NEW ERA DIAGNOSTICS INC
Entity Type:Organization
Organization Name:NEW ERA DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GIVI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERAGIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-917-8614
Mailing Address - Street 1:2345 E 26TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4920
Mailing Address - Country:US
Mailing Address - Phone:908-917-8614
Mailing Address - Fax:888-512-0602
Practice Address - Street 1:8815 168TH ST
Practice Address - Street 2:SUITE 1R
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4305
Practice Address - Country:US
Practice Address - Phone:908-917-8614
Practice Address - Fax:888-512-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty