Organization
INWOOD MEDICAL DIAGNOSTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENIN FERMIN (MANAGER)
(212) 781-1900
Entity
Organization
Contact information
Practice address
629 W 185TH ST BSMT, NEW YORK, NY 10033-3102
(212) 781-1900
(212) 781-7359
Mailing address
PO BOX 763, NEW YORK, NY 10033-0594
(212) 781-1900
(212) 781-7359
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
119573
NY
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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