# NOVA DIAGNOSTIC SERVICES LLC

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

## Provider details

- **NPI number:** 1760266357
- **Authorized official:** EFRAIM ELCHONEN (OWNER)
- **Authorized official phone:** (718) 744-4705

## Contact information

- **Practice address:** 12 FRANKLIN PL, WOODMERE, NY 11598-1294
- **Practice address phone:** (516) 862-4900
- **Practice address fax:** (516) 862-4902
- **Mailing address:** 12 FRANKLIN PL, WOODMERE, NY 11598-1294
- **Mailing address phone:** (516) 862-4900
- **Mailing address fax:** (516) 862-4902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XC2903X | Vascular Specialist/Technologist Cardiovascular | — | NULL | — |
| 246XC2903X | Vascular Specialist/Technologist Cardiovascular | — | — | — |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | NULL | Yes |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2023
- **Last updated:** 08/23/2023