Long Beach Imaging Center Llc | |
120 W Park Ave Suite 306 Long Beach NY 11561-3301 | |
(516) 431-0727 | |
Not Available |
Full Name | Long Beach Imaging Center Llc |
---|---|
Speciality | Dentist |
Location | 120 W Park Ave, Long Beach, New York |
Authorized Official Name and Position | Glen Shanock (OWNER) |
Authorized Official Contact | 5164310727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Long Beach Imaging Center Llc 120 W Park Ave Suite 306 Long Beach NY 11561-3301 Ph: (516) 431-0727 | Long Beach Imaging Center Llc 120 W Park Ave Suite 306 Long Beach NY 11561-3301 Ph: (516) 431-0727 |
NPI Number | 1083891667 |
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Provider Enumeration Date | 01/26/2008 |
Last Update Date | 01/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083891667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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