Organization
INSIGHT MEDICAL DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINODKUMAR VELAYUDHAN DO (PRESIDENT)
(516) 330-6579
Entity
Organization
Contact information
Practice address
763 LARKFIELD RD, COMMACK, NY 11725-3131
(516) 330-6579
Mailing address
135-16 NORTHERN BLVD, STE 1R, FLUSHING, NY 11354
(516) 330-6579
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
237906
NY
Other
Enumeration date
04/29/2011
Last updated
01/06/2012
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