Organization
UNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE LEE MD (MEDICAL DIRECTOR)
(212) 674-0444
Entity
Organization
Contact information
Practice address
200 PARK AVE S, SUITE 1103, NEW YORK, NY 10003-1503
(212) 674-0444
(212) 477-4163
Mailing address
200 PARK AVE S, SUITE 1103, NEW YORK, NY 10003-1503
(212) 674-0444
(212) 477-4163
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
200740-1
NY
Other
Enumeration date
03/06/2007
Last updated
10/27/2016
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