113TH STREET MEDICAL GROUP, PC

FOREST HILLS, NY
NPI1710186903
Entity TypeOrganization
Authorized ContactGIRISH N DESAI
Director
718-990-4645
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Additional Taxonomies2085B0100X Radiology, Body Imaging
2085D0003X Radiology, Diagnostic Neuroimaging
2085N0904X Radiology, Nuclear Radiology
2085R0203X Radiology, Therapeutic Radiology
2085R0204X Radiology, Vascular & Interventional Radiology
2085U0001X Radiology, Diagnostic Ultrasound
Enumeration Date2007-07-17
Last Update Date2007-07-17
Business Address
113TH STREET MEDICAL GROUP, PC
7035 113TH ST
FOREST HILLS, NY 11375-4651
Phone number: 718-990-4255
Mailing Address
113TH STREET MEDICAL GROUP, PC
7035 113TH ST
FOREST HILLS, NY 11375-4651
Phone number: 718-990-4255