Organization
FOREST HILLS NUCLEAR SPECT IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MAYER (VP MANAGED CARE & CREDENTIALING)
(631) 952-5717
Entity
Organization
Contact information
Practice address
6915 AUSTIN ST, FOREST HILLS, NY 11375-4238
(718) 459-2800
(718) 459-3027
Mailing address
PO BOX 13065, HAUPPAUGE, NY 11788-0546
(718) 459-2800
(718) 459-3027
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082906
—
NY
Enumeration date
11/21/2006
Last updated
08/22/2020
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