Organization
GREAT NECK IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD FAGELMAN M.D. (PARTNER/SECRETARY)
(516) 829-3557
Entity
Organization
Contact information
Practice address
907 NORTHERN BLVD, GREAT NECK, NY 11021-5304
(516) 829-3557
(516) 829-5286
Mailing address
907 NORTHERN BLVD, GREAT NECK, NY 11021-5304
(516) 829-3557
(516) 829-5286
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Enumeration date
08/17/2005
Last updated
08/22/2020
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