# CEDARHURST MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003400508
- **Authorized official:** NELLY OSTY (MANAGER)
- **Authorized official phone:** (516) 804-8590

## Contact information

- **Practice address:** 650 CENTRAL AVE STE N, CEDARHURST, NY 11516-2301
- **Practice address phone:** (516) 804-8590
- **Practice address fax:** (516) 804-8591
- **Mailing address:** 650 CENTRAL AVE STE N, CEDARHURST, NY 11516-2301
- **Mailing address phone:** (516) 804-8590
- **Mailing address fax:** (516) 804-8591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 09/26/2024