Long Beach Imaging Center LLC
NPI #1083891667 in Long Beach, New York
Provider Information
- NPI Number
- 1083891667
- Entity Type
- Organization
- Organization Name
- Long Beach Imaging Center LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 26, 2008
- Last Updated
- Jan 26, 2008
Practice Location
- Address
- 120 W PARK AVE
- Address 2
- SUITE 306
- City
- Long Beach
- State
- New York
- ZIP Code
- 11561-3301
- Phone
- (516) 431-0727
Authorized Official
- Name
- DR. GLEN SHANOCK, DDS
- Title
- OWNER
- Phone
- (516) 431-0727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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