Suffolk Medical Imaging, Pc

Specialty details in registry · Lake Grove, NY

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At a glance

2780 Middle Country Road, Lake Grove, NY 11755

NPPES record updated Aug 25, 2009. Public records can lag behind changes at a practice.

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Practice location

2780 Middle Country Road Suite 210
Lake Grove, NY 11755

Professional details: NPI, taxonomy & registry record

NPI1760615793

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 2085R0202X
Enumeration date: Aug 25, 2009
Record updated: Aug 25, 2009

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2085R0202X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2780 Middle Country Road
Suite 210
Lake Grove, NY 11755

Phone: (631) 588-4500
Fax: (631) 588-4595

Mailing address

2780 MIDDLE COUNTRY ROAD
SUITE 210
LAKE GROVE, NY 11755

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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