Organization
LAKE SUCCESS MEDICAL PET SCAN
Active
Other names
LONG ISLAND PET IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE MARINACCIO (CHIEF EXECUTIVE)
(516) 222-2022
Entity
Organization
Contact information
Practice address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
(516) 222-2022
Mailing address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
(516) 222-2022
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
05/07/2008
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