Organization
DIAGNOSTIC RADIOGRAPHIC IMAGING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN E HARRISON MD (MEDICAL DIRECTOR)
(516) 487-1902
Entity
Organization
Contact information
Practice address
290 COMMUNITY DRIVE, GREAT NECK, NY 11021
(516) 487-1902
(516) 487-4156
Mailing address
290 COMMUNITY DRIVE, GREAT NECK, NY 11021
(516) 487-1902
(516) 487-4156
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156503
LICENSE
NY
Enumeration date
04/04/2008
Last updated
04/13/2017
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