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Organization

QUUENS DIAGNOSTIC RADIOLOGY, PC

Active
Other names
Quuens Diagnostic Radiology, PC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK JOSEPH LODESPOTO MD (PRESIDENT)
(718) 764-2222
Entity
Organization

Contact information

Practice address
25302 ROCKAWAY BLVD # B, ROSEDALE, NY 11422-3114
(718) 764-2222
(516) 666-8655
Mailing address
25302 ROCKAWAY BLVD # B, ROSEDALE, NY 11422-3114
(718) 764-2222
(516) 666-8655

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
171063
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171063
LICENSE
NY
01
95B751
MEDICARE INDIVIDUAL
NY
Enumeration date
04/06/2018
Last updated
06/11/2019
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