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Organization
NASSAU-SUFFOLK RADIOLOGICAL ASSOCIATES, P.C.
Active
Organization
NASSAU-SUFFOLK RADIOLOGICAL ASSOCIATES, P.C.
Active
Other names
LINDENHURST XRAY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO ANTONACCI MD (OWNER/PRESIDENT)
(917) 968-4916
Entity
Organization
Contact information
Practice address
20 WEST JOHN STREET, LINDENHURST, NY 11757
(631) 226-2230
(631) 226-3024
Mailing address
2780 MIDDLE COUNTRY ROAD, SUITE 210, LAKE GROVE, NY 11755
(631) 588-4500
(631) 588-4595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
114256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00387302
—
NY
Enumeration date
05/11/2007
Last updated
05/22/2019
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