Organization
PROGRESSIVE DIAGNOSTIC MEDICAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMA RAM (FRONT DESK)
(347) 920-9296
Entity
Organization
Contact information
Practice address
4864 ARTHUR KILL RD, STATEN ISLAND, NY 10309-2650
(718) 317-3200
Mailing address
4864 ARTHUR KILL RD, STATEN ISLAND, NY 10309-2650
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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