Organization
RADIOLOGY MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL LISANN MD (OWNER)
(347) 730-4606
Entity
Organization
Contact information
Practice address
97-28 63RD ROAD, REGO PARK, NY 11374-1639
(718) 539-3646
(888) 500-0406
Mailing address
6923 168TH STREET, FRESH MEADOWS, NY 11365-3213
(718) 539-3646
(888) 500-0406
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261994-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
08/02/2022
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