Organization
CENTRAL PARK DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHNOZ RUSTAMOVA (PRESIDENT)
(646) 391-3414
Entity
Organization
Contact information
Practice address
280 KENNEDY BLVD, BAYONNE, NJ 07002-1234
(646) 391-3414
Mailing address
280 KENNEDY BLVD, BAYONNE, NJ 07002-1234
(646) 391-3414
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
245082
NY
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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