# NEW YORK MEDICAL DIAGNOSTIC IMAGING PC

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

## Provider details

- **NPI number:** 1366689697
- **Authorized official:** DR. DANIEL SHIFTEH MD (DIRECTOR)
- **Authorized official phone:** (877) 372-3266

## Contact information

- **Practice address:** 13617 39TH AVE STE 1D, FLUSHING, NY 11354-5504
- **Practice address phone:** (877) 372-3266
- **Practice address fax:** (877) 372-3266
- **Mailing address:** 295 NORTHERN BLVD STE 307, GREAT NECK, NY 11021-4701
- **Mailing address phone:** (877) 372-3266
- **Mailing address fax:** (877) 372-3266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | 219733 | NY | — |
| 261QR0208X | Mobile Radiology Clinic/Center | 219733 | NY | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 04/09/2021