Pjs Medical Diagnostic Pllc
NPI #1609110295 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1609110295
- Entity Type
- Organization
- Organization Name
- Pjs Medical Diagnostic Pllc
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Nov 20, 2012
- Last Updated
- Dec 20, 2013
Practice Location
- Address
- 650 HALLOCK AVENUE
- State
- New York
- ZIP Code
- 11776-1256
- Phone
- (631) 446-4700
Authorized Official
- Name
- MARK J LODESPOTO, MD
- Title
- OWNER
- Phone
- (631) 446-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Psychiatry & Neurology - Neurology — Neurology |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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