Organization
HILLSIDE OPEN MRI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL M LISANN MD (PRESIDENT)
(718) 465-1718
Entity
Organization
Contact information
Practice address
20416 HILLSIDE AVE, HOLLIS, NY 11423-2217
(718) 465-1718
Mailing address
20416 HILLSIDE AVE, HOLLIS, NY 11423-2217
(718) 465-1718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
02/23/2009
Last updated
02/24/2009
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