Organization
RADIOLOGICAL DIAGNOSTIC IMAGING, P.C.
Active
Other names
Long Island Diagnostic Imaging,P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE A DAVIDSON (EXECUTIVE DIRECTOR)
(516) 364-4600
Entity
Organization
Contact information
Practice address
100 LAFAYETTE DR, SYOSSET, NY 11791-3934
(516) 364-4600
(516) 364-4646
Mailing address
100 LAFAYETTE DR, SYOSSET, NY 11791-3934
(516) 364-4600
(516) 364-4646
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29020576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141341
FDA NUMBER
NY
01
—
1902838816
INDIVIDUAL NPI
NY
Enumeration date
02/26/2007
Last updated
03/13/2008
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