Organization
DYNAMIC RADIOLOGICAL PC
Active
Organization
DYNAMIC RADIOLOGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEA ROSARIO (BILLER)
(631) 498-1394
Entity
Organization
Contact information
Practice address
201 PORTION RD, SUITE B, RONKONKOMA, NY 11779-4172
(516) 872-7001
Mailing address
201 PORTION RD, SUITE B, RONKONKOMA, NY 11779-4172
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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