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Professional Radiology Pc
Diagnostic Radiology Physician in Port Jefferson, New York
NPI 1619989464

Professional Radiology Pc is a Diagnostic Radiology Physician based in Port Jefferson, NY and is specialized in Diagnostic Radiology. Professional Radiology Pc practices in Port Jefferson, NY. The NPI Number for Professional Radiology Pc is 1619989464 and holds a License No. (New York).

The current practice location address for Professional Radiology Pc is 75 North Country Road, Port Jefferson, NY and can be reached out via phone at 631-476-2757 and via fax at 631-473-0132.

Location: 75 North Country Road, Port Jefferson, NY, 11777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619989464
Provider Name
Professional Radiology Pc
Credential
Provider Entity Type
Organization
Address
75 North Country Road, Port Jefferson, NY, 11777
Phone Number
631-476-2757
Fax Number
631-473-0132
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00820911 05 NY
institution
Provider Business Practice Location Address Details
Address
75 North Country Road
City
Port Jefferson
State
New York
Zip
11777
Phone Number
631-476-2757
Fax Number
631-473-0132
person
Provider Business Mailing Address Details
Address
75 North Country Road
City
Port Jefferson
State
New York
Zip
11777
Phone Number
631-476-2757
Fax Number
631-473-0132
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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