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SOUTH QUEENS IMAGING P C NPI 1073534822


NPI Information

NPI: 1073534822
Provider Name: SOUTH QUEENS IMAGING P C
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
131-18 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
ZIP 11420
Phone: (718) 659-7166
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SOUTH QUEENS IMAGING P C is a diagnostic radiology radiology in South Ozone Park, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTH QUEENS IMAGING P C NPI is 1073534822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131-18 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
ZIP 11420
Phone: (718) 659-7166

The provider's authorized official is Charles J Demarco .
The authorized official title is Owner and has the following contact phone number (718) 507-4700.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 1/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104912MEDICARE PINNEW YORK

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: 4/28/2024

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