Organization
QUEENS MEDICAL IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WINAKOR (DIRECTOR, MANAGED CARE)
(516) 616-5000
Entity
Organization
Contact information
Practice address
6915 AUSTIN ST, FOREST HILLS, NY 11375-4238
(718) 544-5100
(718) 575-1926
Mailing address
6915 AUSTIN ST, FOREST HILLS, NY 11375-4238
(718) 544-5100
(718) 575-1926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H98099818578
NY
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02526089
—
NY
Enumeration date
05/23/2005
Last updated
03/20/2008
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