Organization
NORTHERN BOULEVARD IMAGING, MDPC
Active
Other names
Queens Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN ROTHPEARL MD (SENIOR PARTNER)
(631) 517-8006
Entity
Organization
Contact information
Practice address
16425 NORTHERN BLVD, FLUSHING, NY 11358-2646
(718) 358-4075
(718) 358-4076
Mailing address
PO BOX 18005, HAUPPAUGE, NY 11788-8805
(631) 517-8000
(631) 893-1923
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02532070
—
NY
Enumeration date
12/29/2005
Last updated
09/14/2007
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