# SUFFOLK MRI PC

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

## Provider details

- **NPI number:** 1942261128
- **Authorized official:** MS. MARIJEAN LECOMPTE (OFFICE MANAGER)
- **Authorized official phone:** (631) 864-9100

## Contact information

- **Practice address:** 987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
- **Practice address phone:** (631) 864-9100
- **Mailing address:** 987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
- **Mailing address phone:** (631) 864-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 09/11/2025