Organization
ROCKVILLE PET IMAGING PC
Active
Other names
Lucille P. Taverna-Giardina
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCILLE PATRICIA TAVERNA M.D. (MEDICAL DIRECTOR)
(516) 255-9555
Entity
Organization
Contact information
Practice address
119 N PARK AVE, SUITE 101, ROCKVILLE CENTRE, NY 11570-4113
(516) 255-9555
(516) 255-9444
Mailing address
119 N PARK AVE, SUITE 101, ROCKVILLE CENTRE, NY 11570-4113
(516) 255-9555
(516) 255-9444
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1124741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00380218
—
NY
Enumeration date
11/16/2006
Last updated
09/20/2010
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