Organization
NORTH SHORE MEDICAL DIAGNOSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFFAT SADIQUE M.D (OWNER)
(646) 462-9015
Entity
Organization
Contact information
Practice address
3044 CONEY ISLAND AVE, 2ND FLOOR, BROOKLYN, NY 11235-5660
(718) 934-1400
(718) 934-1440
Mailing address
1024 PENINSULA BLVD, WOODMERE, NY 11598-1542
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
230830
NY
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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