NORTH SHORE REGIONAL MRI PC NPI 1568456747

NPI Information

NPI: 1568456747
Provider Name: NORTH SHORE REGIONAL MRI PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
2780 MIDDLE COUNTRY ROAD
SUITE 305
LAKE GROVE, NY
ZIP 11755
Phone: (631) 689-5252
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NORTH SHORE REGIONAL MRI PC is an urgent care clinic center in Lake Grove, NY. NORTH SHORE REGIONAL MRI PC NPI is 1568456747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2780 MIDDLE COUNTRY ROAD
SUITE 305
LAKE GROVE, NY
ZIP 11755
Phone: (631) 689-5252
Fax: (631) 689-5934

The provider's authorized official is Roberto Antonacci .
The authorized official title is President and has the following contact phone number (631) 588-4500.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 10/7/2014.

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	Primary
1	207Q00000X	Family Medicine		No
2	207RA0201X	Internal Medicine	Allergy & Immunology	No
3	261QU0200X	Clinic/Center	Urgent Care	Yes

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

NPI Synchronization or Removal

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