Integrated Medical Diagnostic Services, P.c.

NPI #1740527993 in Commack, New York

Provider Information

NPI Number: 1740527993
Entity Type: Organization
Organization Name: Integrated Medical Diagnostic Services, P.c.
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Jan 8, 2013
Last Updated: Aug 24, 2015

Practice Location

Address: 2171 JERICHO TPKE
Address 2: SUITE 100
City: Commack
State: New York
ZIP Code: 11725-2937
Phone: (877) 646-2228

Authorized Official

Name: MICHELLE CLANCY
Title: EXECUTIVE ADMINISTRATOR
Phone: (877) 646-2228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Nuclear Radiology — Nuclear Radiology	2085N0904X
Radiology - Neuroradiology — Neuroradiology	2085N0700X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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