Organization
SUFFOLK BREAST IMAGING PC
Active
Organization
SUFFOLK BREAST IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA B PERKINS M.D. (MEDICAL DIRECTOR)
(631) 588-4500
Entity
Organization
Contact information
Practice address
2780 MIDDLE COUNTRY RD, SUITE 210, LAKE GROVE, NY 11755-2124
(631) 588-4500
(631) 588-4595
Mailing address
2780 MIDDLE COUNTRY RD, SUITE 210, LAKE GROVE, NY 11755-2124
(631) 588-4500
(631) 588-4595
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51017552
NY
Other
Enumeration date
08/30/2006
Last updated
05/02/2019
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