Organization
ALAN BERLLY, MDPC
Active
Other names
Meadow Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BERLLY MD (SENIOR PARTNER)
(631) 517-8006
Entity
Organization
Contact information
Practice address
1854 FRONT ST, EAST MEADOW, NY 11554-2444
(516) 228-0110
(516) 228-0111
Mailing address
PO BOX 18005, HAUPPAUGE, NY 11788-8805
(631) 517-8000
(631) 893-1923
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00730814
—
NY
Enumeration date
12/29/2005
Last updated
09/14/2007
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