Organization
PREEMPTIVE RADIOLOGICAL IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CLANCY (ADMIN)
(631) 343-4373
Entity
Organization
Contact information
Practice address
2171 JERICHO TPKE, SUITE 100-B, COMMACK, NY 11725-2937
(631) 343-4373
(877) 590-0289
Mailing address
PO BOX 13023, HAUPPAUGE, NY 11788-0535
(631) 343-4373
(877) 590-0289
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
116260-5
NY
2085R0202X
Diagnostic Radiology Physician
Primary
116260-5
NY
Other
Enumeration date
06/23/2016
Last updated
02/16/2017
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