MAIN STREET RADIOLOGY AT BAYSIDELLC NPI 1780771634

NPI Information

MAIN STREET RADIOLOGY AT BAYSIDE,LLC is a diagnostic radiology radiology in Flushing, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MAIN STREET RADIOLOGY AT BAYSIDE,LLC NPI is 1780771634. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3225 FRANCIS LEWIS BLVD
FLUSHING, NY
ZIP 11358-922
Phone: (718) 428-1500
Fax: (718) 428-2475

The provider's authorized official is William G Wolff .
The authorized official title is Chairman and has the following contact phone number (718) 352-9850.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 11/3/2011.

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:

Other Identifiers

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