Provider profile · NPI 1710186903
113th Street Medical Group, Pc
Radiology, Diagnostic Radiology · Forest Hills, NY · NPI 1710186903 · 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
Jul 17, 2007
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7035 113TH ST | Forest Hills, NY 11375-4651 | 718-990-4255 |
| LOCATION | 7035 113TH ST | Forest Hills, NY 11375-4651 | 718-990-4255 |
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