# FIVE TOWNS IMAGING MEDICAL PC

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

## Provider details

- **NPI number:** 1780937094
- **Authorized official:** DR. SERGIO SOKOL MD (CARDIOLOGIST)
- **Authorized official phone:** (516) 804-8590

## Contact information

- **Practice address:** 650 CENTRAL AVE, CEDARHURST, NY 11516-2301
- **Practice address phone:** (516) 804-8590
- **Mailing address:** 755 BRONX RIVER RD, APT 4H, BRONXVILLE, NY 10708-6962
- **Mailing address phone:** (914) 382-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | F337149 | NY | Yes |

## Other

- **Enumeration date:** 10/24/2012
- **Last updated:** 10/24/2012