Organization
NEW YORK DIAGNOSTIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WIEBALCK (CONTROLLER)
(631) 288-1113
Entity
Organization
Contact information
Practice address
266 W 37TH ST, 12TH FLOOR, NEW YORK, NY 10018-6609
(212) 947-8522
Mailing address
PO BOX 1069, WESTHAMPTON BEACH, NY 11978-7069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7002138R
NY
Other
Enumeration date
02/08/2006
Last updated
08/22/2020
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