Organization
SUFFOLK MEDICAL IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANTONACCI MD (PRESIDENT)
(631) 588-4500
Entity
Organization
Contact information
Practice address
2780 MIDDLE COUNTRY ROAD, SUITE 210, LAKE GROVE, NY 11755
(631) 588-4500
(631) 588-4595
Mailing address
2780 MIDDLE COUNTRY ROAD, SUITE 210, LAKE GROVE, NY 11755
(631) 588-4500
(631) 588-4595
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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