Organization · Type 2 NPI

Peninsula Radiology Associates P C

Diagnostic Radiology Physician · Far Rockaway, NY

NPI number 1700896602 Active

Practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Call (718) 734-2616 Map

Fax (212) 563-0605

Mailing address

80 Marcus Dr, Attn: Provider Enrollment
Melville, NY 11747-4230

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XNone listed
Pediatric Radiology Physician 2085P0229XNone listed
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

36 other providers at this address

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About NPI 1700896602

Peninsula Radiology Associates P C's National Provider Identifier is 1700896602, issued on Aug 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Far Rockaway, NY. The record was last updated on May 5, 2010.