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Contact Information

EASTERN PORTABLE X-RAY CORP
20 PEACHTREE CT STE 103D
HOLBROOK, NY11741-4616
 Phone: 631-563-7777
 Fax: 631-563-1078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for EASTERN PORTABLE X RAY CORP · (Female)

NPI # 1871524975
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 04/24/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 51019365
  • NY Medicaid 01901977
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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