Organization
KISSENA MEDICAL IMAGING,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE N DIAMOND M.D. (OWNER)
(718) 961-1663
Entity
Organization
Contact information
Practice address
140-15 HOLLY AVE, FLUSHING, NY 11355-3433
(718) 961-1663
(718) 961-1665
Mailing address
14015 HOLLY AVE, FLUSHING, NY 11355-3433
(718) 961-1663
(718) 961-1665
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155486
MEDICINE
NY
Enumeration date
11/01/2006
Last updated
08/20/2007
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