Organization
GREATER NORTHEAST RADIOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A DIAMENT M.D. (MEDICAL DIRECTOR)
(718) 544-3066
Entity
Organization
Contact information
Practice address
751 E CHURCH ST, ELMIRA, NY 14901-2836
(607) 767-1122
(607) 767-1121
Mailing address
11302 QUEENS BLVD, FOREST HILLS, NY 11375-6468
(516) 495-7129
(516) 495-7129
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03320610
—
NY
05
—
1025728870001
—
PA
05
—
443223100
—
MD
Enumeration date
01/19/2011
Last updated
12/20/2021
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