Organization
NUTAN ANAND, MD, PC
Active
Other names
Long Island Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE A DAVIDSON (EXECUTIVE DIRECTOR)
(516) 364-4600
Entity
Organization
Contact information
Practice address
205 OSBORNE AVE, RIVERHEAD, NY 11901-3021
(631) 727-6025
(631) 727-6025
Mailing address
100 LAFAYETTE DR, SYOSSET, NY 11791-3934
(516) 364-4600
(516) 364-4690
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51021887
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902838816
INDIVIDUAL NPI
NY
01
—
211029
FDA CERTIFICATION
NY
01
—
51021887
NYSDOH CERTIFICATION
NY
Enumeration date
02/26/2007
Last updated
03/13/2008
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