Organization
JR MEDICAL & DIAGNOSTIC SERVIDES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE I RODRIGUEZ-OSPINA MD (MEDICAL DIRECTOR)
(631) 665-4392
Entity
Organization
Contact information
Practice address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
(631) 665-5008
Mailing address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
(631) 665-5008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
177471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181382
—
NY
Enumeration date
04/01/2008
Last updated
10/16/2008
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