Is Radiology Pllc

NPI 1174884191 - Radiology - 2085R0202X

NPI Details
NPI 1174884191
Enumeration Date 06/06/2012
Last Updated 06/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARK J MARK
Position MD/OWNER
Phone (631) 446-4700
Fax (631) 446-4701
Practice Location
1201 ROUTE 112
PORT JEFFERSON STATION NY, 11776-8001, US
Phone (631) 446-4700
Fax (631) 446-4701
Business Location
1201 ROUTE 112
PORT JEFFERSON STATION NY, 11776-8001, US
Phone (631) 446-4700
Fax (631) 446-4701
Toxanomy
Taxonomy Code 2085R0202X
License State New York
License Number 171063
Remove 1174884191 NPI Number
 

According to our database, Is Radiology Pllc NPI is 1174884191, taxonomy code is 2085R0202X and license number is 171063, license state is located at New York. Is Radiology Pllc physically located at 1201 Route 112, Port Jefferson Station NY, 11776-8001. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1174884191 NPI number is provided on an as is basis without warranty of any kind. 1174884191 is maintained by the National Plan & Provider Enumeration System. The contents of Is Radiology Pllc are for informational purposes only.