MEDICARE: FRANHILL OPEN MRI 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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1932748001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANHILL OPEN MRI PC

Provider Business Mailing Address
First Line	:	8902 SPRINGFIELD BLVD
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11427-2514
Country	:	US
Telephone Number	:	718-831-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8902 SPRINGFIELD BLVD
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11427-2514
Country	:	US
Telephone Number	:	718-831-1700
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NEAL M LISANN
Credential	:	MD
Telephone Number	:	718-831-1700

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	01/06/2020

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