# JR MEDICAL & DIAGNOSTIC SERVIDES P.C.

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

## Provider details

- **NPI number:** 1518139393
- **Authorized official:** DR. JOSE I RODRIGUEZ-OSPINA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (631) 665-4392

## Contact information

- **Practice address:** 8 MAPLE AVE, BAY SHORE, NY 11706-8722
- **Practice address phone:** (631) 665-4392
- **Practice address fax:** (631) 665-5008
- **Mailing address:** 8 MAPLE AVE, BAY SHORE, NY 11706-8722
- **Mailing address phone:** (631) 665-4392
- **Mailing address fax:** (631) 665-5008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 177471 | NY | Yes |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 10/16/2008