Long Beach Imaging Center Llc

NPI 1083891667 - Dentist - 122300000X

NPI Details
NPI 1083891667
Enumeration Date 01/26/2008
Last Updated 01/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GLEN GLEN
Position OWNER
Phone (516) 431-0727
Fax
Practice Location
120 W PARK AVE
SUITE 306
LONG BEACH NY, 11561-3301, US
Phone (516) 431-0727
Fax
Business Location
120 W PARK AVE
SUITE 306
LONG BEACH NY, 11561-3301, US
Phone (516) 431-0727
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Long Beach Imaging Center Llc NPI is 1083891667, taxonomy code is 122300000X Long Beach Imaging Center Llc physically located at 120 W Park Ave, Long Beach NY, 11561-3301. NPI Number 1033115704 has the healthcare provider type.

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1083891667 NPI number is provided on an as is basis without warranty of any kind. 1083891667 is maintained by the National Plan & Provider Enumeration System. The contents of Long Beach Imaging Center Llc are for informational purposes only.