# ALAN BERLLY, MDPC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meadow Diagnostic Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760469811
- **Authorized official:** DR. ALAN BERLLY MD (SENIOR PARTNER)
- **Authorized official phone:** (631) 517-8006

## Contact information

- **Practice address:** 1854 FRONT ST, EAST MEADOW, NY 11554-2444
- **Practice address phone:** (516) 228-0110
- **Practice address fax:** (516) 228-0111
- **Mailing address:** PO BOX 18005, HAUPPAUGE, NY 11788-8805
- **Mailing address phone:** (631) 517-8000
- **Mailing address fax:** (631) 893-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 09/14/2007