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Justin Zack, MD
Vascular & Interventional Radiology Physician in Riverhead, New York
NPI 1407964695

Justin Zack is a Vascular & Interventional Radiology Physician based in Riverhead, NY and is specialized in Vascular & Interventional Radiology. Justin Zack practices in Riverhead, NY and has the professional credentials of MD. The NPI Number for Justin Zack is 1407964695 and holds a License No. 209465 (New York).

The current practice location address for Justin Zack is 1333 Roanoke Ave, Riverhead, NY and can be reached out via phone at 631-727-2755 and via fax at 631-208-9521.

Location: 1333 Roanoke Ave, Riverhead, NY, 11901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407964695
Provider Name
Justin Zack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1333 Roanoke Ave, Riverhead, NY, 11901
Phone Number
631-727-2755
Fax Number
631-208-9521
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02206999 05 NY
CF3402 01 NY RR MEDICARE
W11401 01 NY BC/BS
W22111 01 NY MEDICARE GROUP SHR
WEU091 01 NY MEDICARE GROUP HR
institution
Provider Business Practice Location Address Details
Address
1333 Roanoke Ave
City
Riverhead
State
New York
Zip
11901
Phone Number
631-727-2755
Fax Number
631-208-9521
person
Provider Business Mailing Address Details
Address
1333 Roanoke Ave
City
Riverhead
State
New York
Zip
11901
Phone Number
631-727-2755
Fax Number
631-208-9521
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
209465 (New York)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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