Organization
PROMEDICA IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL PHILLIPS MD (PRESIDENT)
(516) 437-1077
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, NEW HYDE PARK, NY 11042-1011
(516) 437-1077
(516) 437-1093
Mailing address
2001 MARCUS AVE, NEW HYDE PARK, NY 11042-1011
(516) 437-1077
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
03/07/2007
Last updated
06/17/2008
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