Organization
RADIOLOGY HEALTH SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD H GLENN MD (PRESIDENT)
(631) 265-5777
Entity
Organization
Contact information
Practice address
800 MAPLE AVE, SMITHTOWN, NY 11787
(631) 265-5777
(631) 265-5797
Mailing address
100 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3455
(631) 265-5777
(631) 265-5797
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01675736
—
NY
Enumeration date
07/13/2006
Last updated
08/22/2020
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