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Empire Medical Group Of New York PC

Radiology, Diagnostic Radiology in Forest Hills, NY. Organization (NPI-2).

NPI number1821108804
StatusActive
Last updated in NPPESNov 4, 2015

Details

NPI
1821108804
Entity type
Organization (NPI-2)
Legal business name
Empire Medical Group Of New York PC
Organization subpart
No
Enumeration date
Aug 30, 2006
Last updated
Nov 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

113-02 Queens Blvd
Forest Hills, NY 11375

Phone 718-544-3066 · Fax 718-544-3125

Mailing address

800 Lanidex Plaza
Suite 210
Parsippany, NJ 07054

Phone 718-544-3066 · Fax 718-544-3125

Authorized official

Paul Timothy Burns
Manager
2128181555

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