Organization
FRESH MEADOWS DIAGNOSTIC RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY LEONARD LEFKOWITZ M.D. (OWNER)
(718) 359-8700
Entity
Organization
Contact information
Practice address
16105 HORACE HARDING EXPY, FLUSHING, NY 11365-1426
(718) 359-8700
(718) 762-0067
Mailing address
16105 HORACE HARDING EXPY, FLUSHING, NY 11365-1426
(718) 359-8700
(718) 762-0067
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
106140-4
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00186118
—
NY
Enumeration date
12/03/2014
Last updated
12/03/2014
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