Organization
COMMUNITY RADIOLOGY SERVICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M BOLGER (DIRECTOR OF MANAGED CARE)
(516) 495-7129
Entity
Organization
Contact information
Practice address
227 FRANKLIN AVE, HEWLETT, NY 11557-1902
(516) 295-5500
(516) 569-8225
Mailing address
11302 QUEENS BLVD, FOREST HILLS, NY 11375-6468
(718) 544-3066
(516) 977-2874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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