OrganizationActive
Advanced Diagnostic Imaging PLLC
NPI 1295008688 · Diagnostic Radiology Physician · Jackson Heights, NY
Provider details
- NPI number
- 1295008688
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sasan Azar, President/Owner(516) 732-0621
- License
- 194192 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
90-20 Elmhurst Avenue
Jackson Heights, NY 11372-7936
Phone: (516) 732-0621
Approximate (ZIP-level) locationGet directions
Mailing address
4 Tideway St
Great Neck, NY 11024-1119
Registry dates
- Enumerated
- 2012-02-15
- Last updated
- 2012-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.