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Organization
SUFFOLK MRI PC
Active
Organization
SUFFOLK MRI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIJEAN LECOMPTE (OFFICE MANAGER)
(631) 864-9100
Entity
Organization
Contact information
Practice address
987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-9100
Mailing address
987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-9100
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
NULL
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
NULL
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
03/29/2006
Last updated
09/11/2025
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