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LAKE SUCCESS MEDICAL PET SCAN NPI 1730228289


NPI Information

NPI: 1730228289
Provider Name: LAKE SUCCESS MEDICAL PET SCAN

Doing Business As: LONG ISLAND PET IMAGING

Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

Address:
990 STEWART AVE
GARDEN CITY, NY
ZIP 11530
Phone: (516) 222-2022
Get Directions

LAKE SUCCESS MEDICAL PET SCAN is a nuclear radiology radiology in Garden City, NY. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. LAKE SUCCESS MEDICAL PET SCAN NPI is 1730228289. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Long Island Pet Imaging.

The provider's business location address is:

990 STEWART AVE
GARDEN CITY, NY
ZIP 11530-822
Phone: (516) 222-2022

The provider's authorized official is Annette Marinaccio .
The authorized official title is Chief Executive and has the following contact phone number (516) 222-2022.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 5/7/2008.


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
12085N0904XRadiologyNuclear 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W34921MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 5/5/2024

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