Organization
PARKLAND DIAGNOSTIC IMAGING, PLLC
Active
Other names
Parkland Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LIEBERMAN MD (MEDICAL DIRECTOR/RADIOLOGIST)
(631) 517-8006
Entity
Organization
Contact information
Practice address
3055 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1231
(716) 677-6736
(716) 677-6144
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
—
02677205
—
NY
01
—
DG7385
RR MEDICARE PIN
NY
Enumeration date
12/29/2005
Last updated
02/23/2009
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