RIDGEWOOD MEDICAL DIAGNOSTIC PC

RIDGEWOOD, NY
NPI1326311358
Entity TypeOrganization
Authorized ContactIAN PRESCOTT
Owner
718-648-5858
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  185071)
Enumeration Date2012-02-22
Last Update Date2012-02-22
Business Address
RIDGEWOOD MEDICAL DIAGNOSTIC PC
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385-1200
Phone number: 718-648-5858
Mailing Address
RIDGEWOOD MEDICAL DIAGNOSTIC PC
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385-1200
Phone number: 718-648-5858