Organization
NEURORAYS IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J. LODESPOTO M.D. (PRESIDENT)
(631) 648-8860
Entity
Organization
Contact information
Practice address
3075 VETERANS MEMORIAL HWY, SUITE 160, RONKONKOMA, NY 11779-7667
(631) 648-8860
(631) 648-8859
Mailing address
3075 VETERANS MEMORIAL HWY, SUITE 160, RONKONKOMA, NY 11779-7667
(631) 648-8860
(631) 648-8859
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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