Organization
MAIN STREET RADIOLOGY AT BAYSIDE LLC
Active
Organization
MAIN STREET RADIOLOGY AT BAYSIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARI JONISCH MD (OFFICER)
(718) 428-1500
Entity
Organization
Contact information
Practice address
7206 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372
(718) 428-1500
(718) 428-2475
Mailing address
3211 FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1922
(718) 352-9850
(718) 352-0102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
11/03/2022
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