Organization
LIFELINE MEDICAL IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH F DORSTEN (PRESIDENT)
(347) 292-7998
Entity
Organization
Contact information
Practice address
1810 VOORHIES AVE STE 10, BROOKLYN, NY 11235-3313
(347) 292-7998
(212) 918-9117
Mailing address
1810 VOORHIES AVE STE 10, BROOKLYN, NY 11235-3313
(347) 292-7998
(212) 918-9117
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000
—
NY
Enumeration date
01/14/2019
Last updated
10/02/2019
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