Organization
MAGNIFIQUE ULTRASOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFSHIN SABZEHROO (OWNER/PRESIDENT)
(516) 487-3519
Entity
Organization
Contact information
Practice address
1 WYCHAM PL, GREAT NECK, NY 11021-2518
(516) 487-3519
(516) 487-3811
Mailing address
1 WYCHAM PL, GREAT NECK, NY 11021-2518
(516) 487-3519
(516) 487-3811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
246W00000X
Cardiology Technician
—
—
246Z00000X
Other Specialist/Technologist
—
—
247100000X
Radiologic Technologist
—
—
Other
Enumeration date
10/29/2013
Last updated
03/18/2014
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