Organization
DALTON RADIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALTON RANDOLPH DANIEL MD (OWNER)
(718) 776-1625
Entity
Organization
Contact information
Practice address
204 16 HILLSIDE AVENUE, HOLLIS, NY 11423
(718) 776-1625
(718) 776-1593
Mailing address
204 16 HILLSIDE AVENUE, HOLLIS, NY 11423
(718) 776-1625
(718) 776-1593
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200099-1
NY
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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