OrganizationActive
Advanced Medical Imaging of Long Island PC
NPI 1053303909 · Diagnostic Radiology Physician · Great Neck, NY
Provider details
- NPI number
- 1053303909
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Fagelman, Partner/Secretary(516) 482-6700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
900 Northern Blvd
Suite 110
Great Neck, NY 11021-5302
Phone: (516) 482-6700
Approximate (ZIP-level) locationGet directions
Mailing address
900 Northern Blvd
Great Neck, NY 11021-5302
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.