| Organization Name: | SUFFOLK BREAST IMAGING PC |
| NPI Number: | 1013027283 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXANDRA B PERKINS (MEDICAL DIRECTOR) |
| Mailing Address: | 2780 Middle Country Rd Suite 210 Lake Grove |
| State: | NY US |
| Postal Code: | 117552124 |
| Phone Number: | 6315884500 |
| Fax Number: | 6315884595 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 10/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 51017552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |