Healthcare Provider Details

I. General information

NPI: 1700715422
Provider Name (Legal Business Name): FIRST IMAGE HEALTH SOLUTIONS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MELVILLE PARK RD STE 85
MELVILLE NY
11747-3172
US

IV. Provider business mailing address

25 MELVILLE PARK RD STE 85
MELVILLE NY
11747-3172
US

V. Phone/Fax

Practice location:
  • Phone: 631-557-4429
  • Fax:
Mailing address:
  • Phone: 770-309-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN DOKU
Title or Position: CEO
Credential:
Phone: 770-309-1333