Organization
NUTAN ANAND, MD, PC
Active
Other names
Long Island Diagnostic Imaging, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE A DAVIDSON (EXECUTIVE DIRECTOR)
(516) 364-4600
Entity
Organization
Contact information
Practice address
100 LAFAYETTE DR, SYOSSET, NY 11791-3934
(516) 364-4600
(516) 364-4646
Mailing address
679 WHISKEY RD, RIDGE, NY 11961-8352
(631) 744-0444
(631) 744-6720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51014000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167312
FDA CERTIFICATION
NY
01
—
1902838816
INDIVIDUAL NPI
NY
01
—
51014000
NYSDOH CERTIFICATION
NY
Enumeration date
02/26/2007
Last updated
03/13/2008
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