# UNION TOWER RADIOLOGY P.C

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

## Provider details

- **NPI number:** 1235312141
- **Authorized official:** SHIRLEY LI (CONTRACTING ASSOCIATE)
- **Authorized official phone:** (347) 610-3414

## Contact information

- **Practice address:** 142-18 38TH AVENUE, UNIT CF-E, FLUSHING, NY 11354
- **Practice address phone:** (718) 661-0055
- **Practice address fax:** (718) 661-0059
- **Mailing address:** 142-18 38TH AVENUE, UNIT CF-E, FLUSHING, NY 11354
- **Mailing address phone:** (718) 661-0055
- **Mailing address fax:** (718) 661-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 1602411 | NY | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 12/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01697290 | — | NY |