Organization
PROFESSIONAL DIAGNOSTIC SONOGRAPHY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO PALERMO RDMS, RDCS, RVT (MANAGER)
(718) 386-8137
Entity
Organization
Contact information
Practice address
6545 MYRTLE AVE, GLENDALE, NY 11385-7028
(718) 386-8137
(718) 386-7908
Mailing address
6545 MYRTLE AVE, GLENDALE, NY 11385-7028
(718) 386-8137
(718) 386-7908
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
08/05/2007
Last updated
10/19/2007
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