Organization
EG IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DE SESA (PRESIDENT)
(516) 770-5530
Entity
Organization
Contact information
Practice address
143 BURRS LN, DIX HILLS, NY 11746-6052
(516) 770-5530
Mailing address
143 BURRS LN, DIX HILLS, NY 11746-6052
(516) 770-5530
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
—
—
246X00000X
Cardiovascular Specialist/Technologist
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
246Z00000X
Other Specialist/Technologist
—
—
247100000X
Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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