Central Park Diagnostic, Inc.

NPI #1881976272 in Rosedale, New York

Provider Information

NPI Number: 1881976272
Entity Type: Organization
Organization Name: Central Park Diagnostic, Inc.
Primary Specialty: Specialist
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 24111 147TH AVE
Address 2: ROSEDALE
City: Rosedale
State: New York
ZIP Code: 11422-2455
Phone: (212) 974-0490

Authorized Official

Name: SHAHNOZ RUSTAMOVA, M.D.
Title: OWNER
Phone: (212) 974-0490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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