OrganizationActive
Coney Island Medical Diagnostic Services P C
NPI 1902436728 · Anatomic Pathology Physician · Brooklyn, NY
Provider details
- NPI number
- 1902436728
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Konstantin Vaizman, Owner
Practice location
1704 Mermaid Ave Ste 6
Brooklyn, NY 11224-2622
Phone: (516) 567-5410
Mailing address
Po Box 86
Jericho, NY 11753-0086
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2020-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.