# NOA DIAGNOSTICS OF NY

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

## Provider details

- **NPI number:** 1497130579
- **Authorized official:** MS. CRYSTAL O'SULLIVAN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (516) 655-9254

## Contact information

- **Practice address:** 6851 JERICHO TPKE, SUITE 150, SYOSSET, NY 11791-4494
- **Practice address phone:** (516) 986-2700
- **Mailing address:** 6851 JERICHO TPKE, SUITE 150, SYOSSET, NY 11791-4494
- **Mailing address phone:** (516) 986-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 29024143 | NY | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 07/30/2015