Organization
ADVANCED DIAGNOSTIC IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASAN AZAR MD (OWNER)
(718) 662-6424
Entity
Organization
Contact information
Practice address
13848 ELDER AVE, FLUSHING, NY 11355-4066
(718) 321-7100
(718) 321-7115
Mailing address
13848 ELDER AVE, FLUSHING, NY 11355-4066
(718) 321-7100
(718) 321-7115
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
194192
NY
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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