Organization
DOSHI DIAGNOSTIC IMAGING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED TYLUTKI (CFO)
(516) 933-2800
Entity
Organization
Contact information
Practice address
560 SOUTH BROADWAY, HICKSVILLE, NY 11801-5027
(516) 937-2233
(516) 822-4167
Mailing address
P.O. BOX 129, LAUREL, NY 11948-0129
(516) 937-2233
(516) 822-4167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NY
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01806495
—
NY
Enumeration date
05/18/2006
Last updated
07/21/2022
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