Organization
MEDICAL ARTS RADIOLOGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TUZINKIEWICZ MD (ADMINISTRATIVE DIRECTOR)
(631) 672-1994
Entity
Organization
Contact information
Practice address
570 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1206
(631) 338-8131
Mailing address
570 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1206
(631) 652-3424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00432100
—
NY
Enumeration date
10/12/2006
Last updated
06/09/2020
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