Organization
NEW YORK MEDICAL DIAGNOSTIC IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHIFTEH MD (DIRECTOR)
(877) 372-3266
Entity
Organization
Contact information
Practice address
13617 39TH AVE STE 1D, FLUSHING, NY 11354-5504
(877) 372-3266
(877) 372-3266
Mailing address
295 NORTHERN BLVD STE 307, GREAT NECK, NY 11021-4701
(877) 372-3266
(877) 372-3266
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
219733
NY
261QR0208X
Mobile Radiology Clinic/Center
Primary
219733
NY
Other
Enumeration date
01/08/2009
Last updated
04/09/2021
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