Individual
MRS. LUCILLE PATRICIA TAVERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 MERRICK RD, RADIOLOGICAL ASSOCIATES OF LONG ISLAND PC, OCEANSIDE, NY 11572-1431
(516) 766-6550
(516) 678-2822
Mailing address
185 MERRICK RD, OCEANSIDE, NY 11572-1431
(516) 766-6550
(516) 678-2822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1124741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00380218
—
NY
Enumeration date
08/15/2005
Last updated
03/25/2010
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