Organization · Type 2 NPI

Suffolk Medical Imaging, PC

Diagnostic Radiology Physician · Lake Grove, NY

NPI number 1760615793 Active

Practice location

2780 Middle Country Road, Suite 210
Lake Grove, NY 11755

Fax (631) 588-4595

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

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

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About NPI 1760615793

Suffolk Medical Imaging, PC's National Provider Identifier is 1760615793, issued on Aug 25, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lake Grove, NY. The record was last updated on Aug 25, 2009.