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Organization
VALLEYSTREAM RADIOLOGY PC
Active
Organization
VALLEYSTREAM RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GREEN M.D. (MD)
(516) 561-5570
Entity
Organization
Contact information
Practice address
234 W MERRICK RD, VALLEY STREAM, NY 11580-5532
(516) 561-5570
Mailing address
PO BOX 520391, FLUSHING, NY 11352-0391
(516) 561-5570
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
120848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01549628
—
NY
Enumeration date
08/10/2009
Last updated
08/11/2009
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