Organization
ESB RADIOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON MARK MD (MEDICAL DIRECTOR)
(516) 872-7001
Entity
Organization
Contact information
Practice address
201 PORTION RD, SUITE B, RONKONKOMA, NY 11779-4172
(516) 872-7001
(516) 872-7007
Mailing address
201 PORTION RD, SUITE B, RONKONKOMA, NY 11779-4172
(516) 872-7001
(516) 872-7007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
214773-1
NY
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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