Provider Type Icon

ADVANCED MEDICAL IMAGING OF LONG ISLAND PC NPI 1053303909


NPI Information

NPI: 1053303909
Provider Name: ADVANCED MEDICAL IMAGING OF LONG ISLAND PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
900 NORTHERN BLVD
SUITE 110
GREAT NECK, NY
ZIP 11021
Phone: (516) 482-6700
Get Directions

ADVANCED MEDICAL IMAGING OF LONG ISLAND PC is a diagnostic radiology radiology in Great Neck, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED MEDICAL IMAGING OF LONG ISLAND PC NPI is 1053303909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 NORTHERN BLVD
SUITE 110
GREAT NECK, NY
ZIP 11021-302
Phone: (516) 482-6700

The provider's authorized official is Donald Fagelman .
The authorized official title is Partner/secretary and has the following contact phone number (516) 482-6700.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.