Provider Demographics
NPI:1215194097
Name:FLUSHING ULTRASOUND SERVICES INC.
Entity Type:Organization
Organization Name:FLUSHING ULTRASOUND SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:POSE
Authorized Official - Suffix:
Authorized Official - Credentials:BS,RT,RDMS
Authorized Official - Phone:631-206-2012
Mailing Address - Street 1:1408 BROOKLYN BLVD
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-4013
Mailing Address - Country:US
Mailing Address - Phone:631-206-2012
Mailing Address - Fax:631-206-2030
Practice Address - Street 1:1408 BROOKLYN BLVD
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-4013
Practice Address - Country:US
Practice Address - Phone:631-206-2012
Practice Address - Fax:631-206-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY564042261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile