Suprin, Gregory

Suprin, Gregory is an individual health care provider with primary practice located at 8810 Parsons Blvd , Jamaica NY 11432-3842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Suprin, Gregory can be contacted via phone (718) 291-8111.

Contact Information

Primary practice address
8810 Parsons Blvd Jamaica NY 11432-3842
Phone: (718) 291-8111
Fax: (718) 487-9343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 230165-1 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 230165 New York

Profile Details

NPI number 1447207071
LBN Legal business name Suprin, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jun 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447207071 NPPES
New York MEDICAID 02585106

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