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

State of New York

Organization Immunopathology Physician · NPI 1639477979

State of New York is an Immunopathology Physician in Brooklyn, New York. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
4

Practice location Address checks out

339 Hicks St
Brooklyn, NY 11201-5509
Phone: (718) 780-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X
Immunopathology Physician Taxonomy 207ZI0100X
Neuropathology Physician Taxonomy 207ZN0500X
Anatomic Pathology Physician Taxonomy 207ZP0101X

Record details

NPI number1639477979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Vientos-Sotiriadis — Coo · (718) 270-2025
Other names Suny Dmc @ Lich-Pathology
NPI enumeratedMarch 10, 2011
Last updated in NPPESApril 4, 2013
Mailing address339 Hicks St, Brooklyn, NY 11201-5509

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