SUFFOLK MEDICAL IMAGING PC NPI 1760615793

NPI Information

  • NPI: 1760615793
  • Provider Name: SUFFOLK MEDICAL IMAGING, PC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2780 MIDDLE COUNTRY ROAD
    SUITE 210
    LAKE GROVE, NY
    ZIP 11755
  • Phone: (631) 588-4500

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NPI Details

SUFFOLK MEDICAL IMAGING, PC is a diagnostic radiology radiology in Lake Grove, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SUFFOLK MEDICAL IMAGING, PC NPI is 1760615793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2780 MIDDLE COUNTRY ROAD
SUITE 210
LAKE GROVE, NY
ZIP 11755
Phone: (631) 588-4500
Fax: (631) 588-4595

The provider's authorized official is Robert 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 8/25/2009 and was last updated on 8/25/2009.

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 RadiologyNEW YORKYes

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: 11/21/2025

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