Organization
PREFERRED MRI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD WAXMAN (DIRECTOR OF OPERATIONS)
(631) 694-2816
Entity
Organization
Contact information
Practice address
81 N BROADWAY, HICKSVILLE, NY 11801-2920
(631) 694-2816
Mailing address
81 N BROADWAY, HICKSVILLE, NY 11801-2920
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02916434
—
NY
Enumeration date
04/19/2007
Last updated
02/08/2008
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