Organization
CENTRAL NASSAU DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN ROTHPEARL MD (MEDICAL DIRECTOR)
(516) 527-5148
Entity
Organization
Contact information
Practice address
6555 WOODHAVEN BLVD, REGO PARK, NY 11374-5048
(718) 731-2500
(718) 731-2502
Mailing address
6555 WOODHAVEN BLVD, REGO PARK, NY 11374-5048
(718) 731-2500
(718) 731-2502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
179224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01626879
—
NY
Enumeration date
05/28/2008
Last updated
05/28/2008
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