Provider profile · NPI 1295008688
Advanced Diagnostic Imaging Pllc
Radiology, Diagnostic Radiology · Jackson Heights, NY · NPI 1295008688 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 15, 2012
License(s)
194192 (NY), 194192 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4 TIDEWAY ST | Great Neck, NY 11024-1119 | 516-732-0621 |
| LOCATION | 90-20 ELMHURST AVENUE | Jackson Heights, NY 11372-7936 | 516-732-0621 |
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