# NORTH SHORE MEDICAL DIAGNOSTIC PC

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

## Provider details

- **NPI number:** 1255695078
- **Authorized official:** DR. IFFAT SADIQUE M.D (OWNER)
- **Authorized official phone:** (646) 462-9015

## Contact information

- **Practice address:** 3044 CONEY ISLAND AVE, 2ND FLOOR, BROOKLYN, NY 11235-5660
- **Practice address phone:** (718) 934-1400
- **Practice address fax:** (718) 934-1440
- **Mailing address:** 1024 PENINSULA BLVD, WOODMERE, NY 11598-1542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 230830 | NY | Yes |

## Other

- **Enumeration date:** 06/26/2012
- **Last updated:** 06/26/2012