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Organization

NEW YORK MEDICAL DIAGNOSTIC IMAGING PC

Active
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Organization

NEW YORK MEDICAL DIAGNOSTIC IMAGING PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DANIEL SHIFTEH MD (DIRECTOR)
(718) 353-8988
Entity
Organization

Contact information

Practice address
13617 39TH AVE STE 1D, FLUSHING, NY 11354-5504
(718) 353-8988
(718) 285-7568
Mailing address
295 NORTHERN BLVD STE 307, GREAT NECK, NY 11021-4701
(516) 482-7775
(718) 907-7910

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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