Organization
STAR MEDICAL DIAGNOSTIC PC
Active
Organization
STAR MEDICAL DIAGNOSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAIYER IMAM MD (PRESIDENT)
(516) 758-7126
Entity
Organization
Contact information
Practice address
234 W MERRICK RD, VALLEY STREAM, NY 11580-5532
(516) 758-7126
Mailing address
234 W MERRICK RD, VALLEY STREAM, NY 11580-5532
(516) 758-7126
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
11/23/2021
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