Organization
MAIN STREET RADIOLOGY AT BAYSIDE LLC
Active
Organization
MAIN STREET RADIOLOGY AT BAYSIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARI M JONISCH MD (AUTHORIZED OFFICIAL)
(718) 428-1500
Entity
Organization
Contact information
Practice address
8314 COOPER AVE, GLENDALE, NY 11385-7722
(718) 428-1500
(718) 907-2389
Mailing address
3225 FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1922
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
11/03/2022
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