UNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC
Ambulatory Health at Park Ave, New York, NY

License number
New York 200740-1
Category
Ambulatory Health
Type
Radiology, Mammography
Owner
Name: DR. TERRANCE LEE MD
Title: MEDICAL DIRECTOR
Phone: (212) 674-0444
Address
Address
200 Park Ave S SUITE 1103, New York, NY 10003
National Provider ID: 1912037102
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC

New York, NY

Industry:
Medical Doctor's Office Medical Laboratory, Physician's Office
Doing business as:
Park Ave Imaging & Mammagraphy
Registration:
Jan 6, 2005
Phone:
(212) 674-0444 (Phone)
Addresses:
Dr Maksumova Zoya 200 Park Ave S STE 1103, New York, NY 10003 (Physical)
200 Park Ave S STE 1103, New York, NY 10003 (Physical)
State ID:
3146663
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Administrations:
Zoya Maksumova (Medical Director, Medical Doctor), 200 Park Ave S STE 1103, New York, NY 10003 (Physical),Yesin Vaynsaelbaum (Medical Doctor, Owner),Lilia Shenker (Biller),...

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