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Contact Information

MID-ISLAND MEDICAL IMAGING, P.C.
1643C ROUTE 112
MEDFORD, NY11763
 Phone: 631-758-1800
 Fax: 631-758-8029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MID ISLAND MEDICAL IMAGING PC · (Female)

NPI Number 1396857843
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 05/02/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 51016723
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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