Organization
EMPIRE STATE RADIOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (AUTHORIZED OFFICIAL)
(629) 317-1465
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(718) 223-4685
Mailing address
PO BOX 784407, PHILADELPHIA, PA 19178-4407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
02/03/2020
Last updated
03/26/2026
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