Organization
COMPREHENSIVE DIAGNOSTIC IMAGING SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BONO (ADMINISTRATOR)
(941) 681-2842
Entity
Organization
Contact information
Practice address
8635 QUEENS BLVD, SUITE 2LM, ELMHURST, NY 11373-4434
(844) 654-6235
(941) 681-2845
Mailing address
8635 QUEENS BLVD, SUITE 2LM, ELMHURST, NY 11373-4434
(844) 654-6235
(941) 681-2845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
183957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02377324
—
NY
Enumeration date
07/23/2015
Last updated
07/23/2015
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