Organization
PATCHOGUE OPEN MRI, PC
Active
Other names
mainstreet medical imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DEGRADI (ADMINISTRATOR)
(631) 447-2700
Entity
Organization
Contact information
Practice address
475 E MAIN ST, SUITE 100, PATCHOGUE, NY 11772-3121
(631) 447-2700
Mailing address
475 E MAIN ST, SUITE 100, PATCHOGUE, NY 11772-3121
(631) 447-2700
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
02/26/2008
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