Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coney Island Medical Diagnostic Services P C

Organization Anatomic Pathology Physician · NPI 1902436728

Coney Island Medical Diagnostic Services P C is an Anatomic Pathology Physician in Brooklyn, New York. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1704 Mermaid Ave Ste 6
Brooklyn, NY 11224-2622
Phone: (516) 567-5410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X

Record details

NPI number1902436728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Konstantin Vaizman — Owner · (347) 446-6839
NPI enumeratedJanuary 21, 2020
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020
Mailing addressPo Box 86, Jericho, NY 11753-0086

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