OrganizationActive
113th Street Medical Group, PC
NPI 1710186903 · Diagnostic Radiology Physician · Forest Hills, NY
Provider details
- NPI number
- 1710186903
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Girish Desai, Director
Practice location
7035 113th St
Forest Hills, NY 11375-4651
Phone: (718) 990-4255
Fax: (718) 990-4624
Mailing address
7035 113th St
Forest Hills, NY 11375-4651
Registry dates
- Enumerated
- 2007-07-17
- Last updated
- 2007-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.