# ISLAND DIAGNOSTIC IMAGING ASSOCIATES

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

## Provider details

- **NPI number:** 1619943495
- **Authorized official:** DR. STEVEN MARK PEYSER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (516) 797-6700

## Contact information

- **Practice address:** 4160 MERRICK RD, MASSAPEQUA, NY 11758
- **Practice address phone:** (516) 797-6700
- **Practice address fax:** (516) 797-8463
- **Mailing address:** 4160 MERRICK RD, MASSAPEQUA, NY 11758
- **Mailing address phone:** (516) 797-6700
- **Mailing address fax:** (516) 797-8463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 29022743 | NY | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 01/21/2010