EAST QUEENS MEDICAL DIAGNOSTIC SERVICES, PC
Radiology at Linden Blvd, Jamaica, NY

License number
New York 179357
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New York 116260
Category
Radiology
Type
Body Imaging
Owner
Name: DR. CLINTON J SEWELL M.D.
Title: PRESIDENT
Phone: (718) 276-3400
Address
Address
23011 Linden Blvd, Jamaica, NY 11411
National Provider ID: 1003097270
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST QUEENS MEDICAL DIAGNOSTIC SERVICES PC

Jamaica, NY

Status:
Inactive
Industry:
Services-Misc
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Sep 14, 2007
Inactive since:
Apr 25, 2012
Addresses:
230-11 Linden Blvd, Cambria Heights, NY 11411 (Physical)
23011 Linden Blvd, Jamaica, NY 11411
State ID:
3568298
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Principal:
Clinton J. Sewell Principal, inactive

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