# IMAGING & INTERVENTIONAL ASSOCIATE PC

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

## Provider details

- **NPI number:** 1578220661
- **Authorized official:** IFTIKHAR AHMAD MD (OWNER)
- **Authorized official phone:** (917) 336-8422

## Contact information

- **Practice address:** 4545 CENTER BLVD APT 2413, LONG ISLAND CITY, NY 11109-5950
- **Practice address phone:** (917) 336-8422
- **Mailing address:** 4545 CENTER BLVD APT 2413, LONG ISLAND CITY, NY 11109-5950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ER0200X | Radiology Podiatrist | — | NULL | — |
| 213ER0200X | Radiology Podiatrist | — | — | — |

## Other

- **Enumeration date:** 11/23/2021
- **Last updated:** 06/05/2026
