Organization · Type 2 NPI

113th Street Medical Group, PC

Diagnostic Radiology Physician · Forest Hills, NY

NPI number 1710186903 Active

Practice location

7035 113th St
Forest Hills, NY 11375-4651

Call (718) 990-4255 Map

Fax (718) 990-4624

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XNone listed
Diagnostic Neuroimaging (Radiology) Physician 2085D0003XNone listed
Nuclear Radiology Physician 2085N0904XNone listed
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Therapeutic Radiology Physician 2085R0203XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed

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

13 other providers at this address

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About NPI 1710186903

113th Street Medical Group, PC's National Provider Identifier is 1710186903, issued on Jul 17, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 17, 2007.