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Organization
IMAGING & INTERVENTIONAL ASSOCIATE PC
Active
Organization
IMAGING & INTERVENTIONAL ASSOCIATE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFTIKHAR AHMAD MD (OWNER)
(917) 336-8422
Entity
Organization
Contact information
Practice address
4545 CENTER BLVD APT 2413, LONG ISLAND CITY, NY 11109-5950
(917) 336-8422
Mailing address
4545 CENTER BLVD APT 2413, LONG ISLAND CITY, NY 11109-5950
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
NULL
213ER0200X
Radiology Podiatrist
—
—
Other
Enumeration date
11/23/2021
Last updated
06/05/2026
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