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Organization

PHYSICIANS DIAGNOSTIC IMAGING, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH GOODMAN M.D. (PRESIDENT)
(516) 562-6510
Entity
Organization

Contact information

Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6510
Mailing address
PO BOX 30301, STATEN ISLAND, NY 10303-0301
(516) 562-6510

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6020399
NY

Other

Enumeration date
07/24/2006
Last updated
02/08/2012
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