Organization
ADVANCED M.R.I., PC-RAYTEL MEDICAL IMAGING-QUEENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M FLANEGIN (PRESIDENT)
(610) 831-1112
Entity
Organization
Contact information
Practice address
6860 AUSTIN ST, FOREST HILLS, NY 11375-4220
(718) 575-0500
(718) 275-1258
Mailing address
7 WATERSIDE XING, 3RD FLOOR ATTN: KAREN FRISK, CONTRACTING, WINDSOR, CT 06095-1540
(800) 367-1095
(860) 298-6127
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
H98008160678
NY
Other
Enumeration date
05/09/2006
Last updated
08/31/2007
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