Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suffolk Breast Imaging PC

Organization Diagnostic Radiology Physician · NPI 1013027283

Suffolk Breast Imaging PC is a Diagnostic Radiology Physician in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2780 Middle Country Rd Ste 210
Lake Grove, NY 11755-2124
Phone: (631) 588-4500
Fax: (631) 588-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 51017552 (NY)

Record details

NPI number1013027283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandra Perkins — Medical Director · (631) 588-4500
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 2, 2019
Mailing address2780 Middle Country Rd, Suite 210, Lake Grove, NY 11755-2124

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