Healthcare Provider Details

I. General information

NPI: 1396060752
Provider Name (Legal Business Name): AMERICAN IMAGING ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 05/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 N VILLAGE AVE
ROCKVILLE CENTRE NY
11570-3761
US

IV. Provider business mailing address

545 ELMONT RD
ELMONT NY
11003-4002
US

V. Phone/Fax

Practice location:
  • Phone: 516-763-3040
  • Fax: 516-763-4325
Mailing address:
  • Phone: 516-354-4200
  • Fax: 516-977-2874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS R. ROSSI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 516-354-4200