Organization
SOUTHWEST NASSAU RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HIMELFARB M.D. (RADIOLOGIST)
(516) 825-6500
Entity
Organization
Contact information
Practice address
147 E MERRICK RD, VALLEY STREAM, NY 11580-5981
(516) 825-6500
(516) 825-0493
Mailing address
147 E MERRICK ROAD, VALLEY STREAM, NY 11580-5981
(516) 825-6500
(516) 825-0493
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
168462
NY
Other
Enumeration date
04/07/2011
Last updated
04/13/2011
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