OLD COUNTRY ROAD IMAGING AND DIAGNOSTICS NPI 1568489433

NPI Information

  • NPI: 1568489433
  • Provider Name: OLD COUNTRY ROAD IMAGING AND DIAGNOSTICS
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 184 OLD COUNTRY RD
    MINEOLA, NY
    ZIP 11501
  • Phone: (516) 739-2464

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NPI Details

OLD COUNTRY ROAD IMAGING AND DIAGNOSTICS is a diagnostic radiology radiology in Mineola, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OLD COUNTRY ROAD IMAGING AND DIAGNOSTICS NPI is 1568489433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

184 OLD COUNTRY RD
MINEOLA, NY
ZIP 11501-200
Phone: (516) 739-2464

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 7/16/2006 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?

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This page was last updated on: 11/21/2025

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