Organization
MAIMONIDES DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDE KHANATAYEV (PARTNER)
(718) 747-4132
Entity
Organization
Contact information
Practice address
1701 AVENUE P STE M, BROOKLYN, NY 11229-1205
(646) 821-5229
Mailing address
205 ROCKAWAY AVE # 3008, VALLEY STREAM, NY 11580-5825
(718) 747-4132
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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