Organization
INTEGRATED DIAGNOSTIC IMAGING & CARDIOLOGY OF STATEN ISLAND P.C.
Active
Organization
INTEGRATED DIAGNOSTIC IMAGING & CARDIOLOGY OF STATEN ISLAND P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD STROBECK MD (OWNER)
(201) 888-7877
Entity
Organization
Contact information
Practice address
2052 RICHMOND RD STE B, STATEN ISLAND, NY 10306-2583
(201) 888-7877
(855) 420-5931
Mailing address
2052 RICHMOND RD STE B, STATEN ISLAND, NY 10306-2583
(201) 888-7877
(855) 420-5931
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1306831
NY
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743653
—
NY
01
—
1306831
NY MEDICAL LICENSE
NY
Enumeration date
07/28/2006
Last updated
09/20/2023
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