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

Supreme Medical Diagnostic, PC

Organization Psychiatry Physician · NPI 1093949893

Supreme Medical Diagnostic, PC provides Psychiatry Physician services in New York, New York. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 E 68th St Ste 8
New York, NY 10065-5718 Not confirmed with CMS for 17 years — call before visiting
Phone: (212) 288-2553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1093949893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilya Burshteyn — Owner · (212) 288-3474
NPI enumeratedMay 7, 2009
Last updated in NPPESMay 9, 2009
Mailing address215 E 68th St, Suite 8, New York, NY 10065-5718

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