Organization
INNOVATIVE MEDICAL DIAGNOSTIC CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH CHANDRA MD (MEDICAL DIRECTOR)
(212) 860-3500
Entity
Organization
Contact information
Practice address
1825 MADISON AVE, NEW YORK, NY 10035-3829
(212) 860-3500
(212) 860-3531
Mailing address
PO BOX 48340, NEWARK, NJ 07101-8540
(212) 860-3500
(212) 860-3531
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/13/2011
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