Organization
HILLSIDE RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZOYA MAKSUMOVA M.D. (RADIOLOGIST)
(718) 298-6739
Entity
Organization
Contact information
Practice address
16403 HILLSIDE AVE, JAMAICA, NY 11432-4140
(718) 298-6739
(718) 298-6789
Mailing address
16403 HILLSIDE AVE, JAMAICA, NY 11432-4140
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
200740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01616655
—
NY
Enumeration date
11/14/2006
Last updated
08/22/2020
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