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Organization

AMERICAN DIAGNOSTICS MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN ZELEN M.D. (CEO)
(631) 421-1314
Entity
Organization

Contact information

Practice address
775 PARK AVE STE 360, HUNTINGTON, NY 11743-7570
(631) 421-1314
Mailing address
775 PARK AVE STE 360, HUNTINGTON, NY 11743-7570
(631) 421-1314

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
221756
NY
2085R0204X
Vascular & Interventional Radiology Physician
175751
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
177819
NY

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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