Organization
AIM 4 LIFE MEDICAL DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NODARI MIKHELASHVILI MD (PRESIDENT)
(718) 279-1300
Entity
Organization
Contact information
Practice address
6829 SPRINGFIELD BLVD, OAKLAND GARDENS, NY 11364-2632
(718) 279-1300
(718) 554-1041
Mailing address
6829 SPRINGFIELD BLVD, OAKLAND GARDENS, NY 11364-2632
(718) 279-1300
(718) 554-1041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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