Is Radiology Pllc
NPI #1174884191 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1174884191
- Entity Type
- Organization
- Organization Name
- Is Radiology Pllc
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Jun 6, 2012
- Last Updated
- Jun 7, 2012
Practice Location
- Address
- 1201 ROUTE 112
- State
- New York
- ZIP Code
- 11776-8001
- Phone
- (631) 446-4700
Authorized Official
- Name
- DR. MARK J LODISPOTO, MD
- Title
- MD/OWNER
- Phone
- (631) 446-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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