MEDICARE: DS MEDICAL DIAGNOSTICS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center
2	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1598259996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DS MEDICAL DIAGNOSTICS PC

Provider Business Mailing Address
First Line	:	13620 38TH AVE # 3A-2B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4277
Country	:	US
Telephone Number	:	877-372-3266
Fax Number	:	877-372-3266

Provider Business Practice Location Address
First Line	:	13249 41ST RD STE 1C
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-4286
Country	:	US
Telephone Number	:	877-372-3266
Fax Number	:	877-372-3266

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SCOTT SPRINGER
Credential	:	MD
Telephone Number	:	773-723-2668

Provider Enumeration Date	:	06/19/2018
Last Update Date	:	04/06/2021

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Directions to “DS MEDICAL DIAGNOSTICS PC ” Practice Location

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