# ADVANCED M.R.I., PC-RAYTEL MEDICAL IMAGING-QUEENS

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

## Provider details

- **NPI number:** 1124077938
- **Authorized official:** MR. JEFFREY M FLANEGIN (PRESIDENT)
- **Authorized official phone:** (610) 831-1112

## Contact information

- **Practice address:** 6860 AUSTIN ST, FOREST HILLS, NY 11375-4220
- **Practice address phone:** (718) 575-0500
- **Practice address fax:** (718) 275-1258
- **Mailing address:** 7 WATERSIDE XING, 3RD FLOOR ATTN: KAREN FRISK, CONTRACTING, WINDSOR, CT 06095-1540
- **Mailing address phone:** (800) 367-1095
- **Mailing address fax:** (860) 298-6127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | H98008160678 | NY | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/31/2007