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Organization
UNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC
Active
Organization
UNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE LEE MD (MEDICAL DIRECTOR)
(212) 674-0444
Entity
Organization
Contact information
Practice address
200 PARK AVE S, SUITE 1103, NEW YORK, NY 10003-1503
(212) 674-0444
(212) 477-4163
Mailing address
200 PARK AVE S, SUITE 1103, NEW YORK, NY 10003-1503
(212) 674-0444
(212) 477-4163
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
200740-1
NY
Other
Enumeration date
03/06/2007
Last updated
10/27/2016
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