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Organization
PROFESSIONAL HEALTH RADIOLOGY P.C
Active
Organization
PROFESSIONAL HEALTH RADIOLOGY P.C
Active
Other names
Professional Health Radiology P.C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART BAKST M.D (OWNER)
(718) 755-1010
Entity
Organization
Contact information
Practice address
9828 QUEENS BLVD STE 6, REGO PARK, NY 11374-4257
(718) 755-1010
(718) 360-2279
Mailing address
9828 QUEENS BLVD STE 6, REGO PARK, NY 11374-4257
(718) 755-1010
(718) 360-2279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200451
NY
Other
Enumeration date
12/07/2010
Last updated
08/23/2011
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