Ridgewood Medical Diagnostic PC

NPI #1326311358 in Ridgewood, New York

Provider Information

NPI Number: 1326311358
Entity Type: Organization
Organization Name: Ridgewood Medical Diagnostic PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 22, 2012
Last Updated: Feb 22, 2012

Practice Location

Address: 5629 METROPOLITAN AVE
City: Ridgewood
State: New York
ZIP Code: 11385-1200
Phone: (718) 648-5858

Authorized Official

Name: DR. IAN PRESCOTT, MD
Title: OWNER
Phone: (718) 648-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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