Organization · NPI-2

Crescent Radiology PLLC

Radiology, Diagnostic Radiology · Astoria, NY

NPI number1790975498
StatusActive
Last updated in NPPESApr 22, 2008

Details

NPI
1790975498
Entity type
Organization (NPI-2)
Legal business name
Crescent Radiology PLLC
Organization subpart
No
Enumeration date
Jul 29, 2007
Last updated
Apr 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

2747 Crescent St
Suite 107
Astoria, NY 11102-3142

Phone 718-507-4700

Mailing address

2747 Crescent St
Suite 107
Astoria, NY 11102-3142

Phone 718-507-4700

Authorized official

Charles J Demarco
Director
7185074700

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