Organization
LYNBROOK MEDICAL DIAGNOSTIC ULTRASOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEA ROSARIO (BILLER)
(631) 498-1394
Entity
Organization
Contact information
Practice address
875 SUNRISE HWY, 2ND FLOOR, LYNBROOK, NY 11563-2800
(516) 872-7001
(516) 872-7007
Mailing address
875 SUNRISE HWY, 2ND FLOOR, LYNBROOK, NY 11563-2800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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