Provider Demographics
NPI:1285202986
Name:SUPERBILLING CORP
Entity Type:Organization
Organization Name:SUPERBILLING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUNFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-775-0367
Mailing Address - Street 1:97 S 8TH ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-6009
Mailing Address - Country:US
Mailing Address - Phone:917-620-1100
Mailing Address - Fax:
Practice Address - Street 1:97 S 8TH ST APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-6009
Practice Address - Country:US
Practice Address - Phone:917-620-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty