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Organization
RIDGEWOOD MEDICAL DIAGNOSTIC PC
Active
Organization
RIDGEWOOD MEDICAL DIAGNOSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN PRESCOTT MD (OWNER)
(718) 648-5858
Entity
Organization
Contact information
Practice address
5629 METROPOLITAN AVE, RIDGEWOOD, NY 11385-1200
(718) 648-5858
(718) 375-2735
Mailing address
5629 METROPOLITAN AVE, RIDGEWOOD, NY 11385-1200
(718) 648-5858
(718) 375-2735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
185071
NY
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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