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Organization

ISLAND DIAGNOSTIC IMAGING ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN MARK PEYSER MD (MEDICAL DIRECTOR)
(516) 797-6700
Entity
Organization

Contact information

Practice address
4160 MERRICK RD, MASSAPEQUA, NY 11758
(516) 797-6700
(516) 797-8463
Mailing address
4160 MERRICK RD, MASSAPEQUA, NY 11758
(516) 797-6700
(516) 797-8463

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
29022743
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02255443
NY
Enumeration date
02/23/2006
Last updated
01/21/2010
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