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Organization
NEW YORK MEDICAL DIAGNOSTIC IMAGING PC
Active
Organization
NEW YORK MEDICAL DIAGNOSTIC IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHIFTEH MD (DIRECTOR)
(877) 372-3266
Entity
Organization
Contact information
Practice address
13617 39TH AVE STE 1D, FLUSHING, NY 11354-5504
(877) 372-3266
(877) 372-3266
Mailing address
295 NORTHERN BLVD STE 307, GREAT NECK, NY 11021-4701
(877) 372-3266
(877) 372-3266
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
219733
NY
261QR0208X
Mobile Radiology Clinic/Center
Primary
219733
NY
Other
Enumeration date
01/08/2009
Last updated
04/09/2021
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