OrganizationActive
East River Diagnostic Center LLC
NPI 1154982361 · Neuroradiology Physician · Massapequa, NY
Provider details
- NPI number
- 1154982361
- Entity type
- Organization
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerard Fusaro, Director(516) 410-3640
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Practice location
3 Franklin Pl
Massapequa, NY 11758-7016
Phone: (516) 410-3640
Approximate (ZIP-level) locationGet directions
Mailing address
48 Leonard Dr
Massapequa, NY 11758-7920
Registry dates
- Enumerated
- 2019-06-27
- Last updated
- 2022-12-03
- Certified
- 2022-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.