# AMERICAN DIAGNOSTICS MEDICAL PLLC

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

## Provider details

- **NPI number:** 1194985762
- **Authorized official:** DR. JONATHAN ZELEN M.D. (CEO)
- **Authorized official phone:** (631) 421-1314

## Contact information

- **Practice address:** 775 PARK AVE STE 360, HUNTINGTON, NY 11743-7570
- **Practice address phone:** (631) 421-1314
- **Mailing address:** 775 PARK AVE STE 360, HUNTINGTON, NY 11743-7570
- **Mailing address phone:** (631) 421-1314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 221756 | NY | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 175751 | NY | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 177819 | NY | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008