Provider Demographics
NPI:1326345893
Name:EXCEL IMAGING PC
Entity Type:Organization
Organization Name:EXCEL IMAGING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PERVAIZ
Authorized Official - Middle Name:IQBAL
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-446-7500
Mailing Address - Street 1:7235 51ST AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-7610
Mailing Address - Country:US
Mailing Address - Phone:718-446-7500
Mailing Address - Fax:718-446-7348
Practice Address - Street 1:7235 51ST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-7610
Practice Address - Country:US
Practice Address - Phone:718-446-7500
Practice Address - Fax:718-446-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty