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Organization
EAST RIVER DIAGNOSTIC CENTER LLC
Active
Organization
EAST RIVER DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD FUSARO DC (DIRECTOR)
(516) 410-3640
Entity
Organization
Contact information
Practice address
3 FRANKLIN PL, MASSAPEQUA, NY 11758-7016
(516) 410-3640
Mailing address
48 LEONARD DR, MASSAPEQUA, NY 11758-7920
(212) 288-2823
(212) 208-4648
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
—
NULL
2085N0700X
Neuroradiology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
06/27/2019
Last updated
12/03/2022
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