Organization
ADVANCED DIGITAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ISAACS (PRESIDENT)
(631) 838-8309
Entity
Organization
Contact information
Practice address
4 BOWMAN LN, COMMACK, NY 11725-3205
(631) 838-8309
(631) 910-0333
Mailing address
169 COMMACK RD STE H350, COMMACK, NY 11725-3442
(631) 838-8309
(631) 910-0333
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
51023786
NY
246XS1301X
Sonography Specialist/Technologist Cardiovascular
H98 1269403 76
NY
2471S1302X
Sonography Radiologic Technologist
Primary
51023786
NY
2471S1302X
Sonography Radiologic Technologist
H98 1269403 76
NY
2471V0105X
Vascular Sonography Radiologic Technologist
51023786
NY
2471V0105X
Vascular Sonography Radiologic Technologist
H98 1269403 76
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00641071
MEDICARE RAILROAD
NY
Enumeration date
06/23/2008
Last updated
04/10/2018
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