Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Diagnostic Support PLLC

Organization Pediatrics Physician · NPI 1588455828

Medical Diagnostic Support PLLC is a Pediatrics Physician in Brooklyn, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

175 Pearl St
Brooklyn, NY 11201-7508
Phone: (718) 376-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1588455828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Bassoul — Owner · (718) 376-4636
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address175 Pearl St, Brooklyn, NY 11201-7508

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