Individual provider · Type 1 NPI

Ian Ralph Whiteside, MD

Body Imaging Physician · Port Jefferson, NY

NPI number 1437560430 Active

Practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1968

Call (631) 474-6000 Map

Mailing address

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Ultrasound Physician 2085U0001X303407 (NY)
Body Imaging Physician Primary 2085B0100X303407 (NY)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

147 other providers at this address

About NPI 1437560430

Ian Ralph Whiteside, MD's National Provider Identifier is 1437560430, issued on May 13, 2014. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 24, 2021.