Provider Demographics
NPI:1851410211
Name:METROTECH MEDICAL SUPPORT PROGRAMS INC
Entity Type:Organization
Organization Name:METROTECH MEDICAL SUPPORT PROGRAMS INC
Other - Org Name:METROTECH MEDICAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:ABRAMOVICH
Authorized Official - Last Name:NITKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-243-0100
Mailing Address - Street 1:375 JAY STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-243-0100
Mailing Address - Fax:718-243-2669
Practice Address - Street 1:375 JAY STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-243-0100
Practice Address - Fax:718-243-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology