Provider Demographics
NPI:1518322171
Name:QUEENS RADIOLOGY READING SERVICES PC
Entity Type:Organization
Organization Name:QUEENS RADIOLOGY READING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:IZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-344-2855
Mailing Address - Street 1:16020 79TH ST
Mailing Address - Street 2:HOWARD BEACH
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2911
Mailing Address - Country:US
Mailing Address - Phone:718-344-2855
Mailing Address - Fax:
Practice Address - Street 1:16020 79TH ST
Practice Address - Street 2:HOWARD BEACH
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11414-2911
Practice Address - Country:US
Practice Address - Phone:718-344-2855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology