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Organization
PATCHOGUE OPEN MRI, PC
Active
Organization
PATCHOGUE OPEN MRI, PC
Active
Other names
mainstreet medical imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DEGRADI (ADMINISTRATOR)
(631) 447-2700
Entity
Organization
Contact information
Practice address
475 E MAIN ST, SUITE 100, PATCHOGUE, NY 11772-3121
(631) 447-2700
Mailing address
475 E MAIN ST, SUITE 100, PATCHOGUE, NY 11772-3121
(631) 447-2700
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/09/2006
Last updated
02/26/2008
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