North Shore Regional Mri PC
NPI #1568456747 in Lake Grove, New York
Provider Information
- NPI Number
- 1568456747
- Entity Type
- Organization
- Organization Name
- North Shore Regional Mri PC
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Sep 2, 2005
- Last Updated
- Oct 7, 2014
Practice Location
- Address
- 2780 MIDDLE COUNTRY ROAD
- Address 2
- SUITE 305
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755
- Phone
- (631) 689-5252
Authorized Official
- Name
- ROBERTO ANTONACCI, M.D.
- Title
- PRESIDENT
- Phone
- (631) 588-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine - Allergy & Immunology — Allergy & Immunology |
| Clinic/Center - Urgent Care — Urgent Care |
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