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

Suffolk Medical Imaging, PC

Organization Diagnostic Radiology Physician · NPI 1760615793

Suffolk Medical Imaging, PC is a Diagnostic Radiology Physician in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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
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 (NY)

Record details

NPI number1760615793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Antonacci — President · (631) 588-4500
NPI enumeratedAugust 25, 2009
Last updated in NPPESAugust 25, 2009
Mailing address2780 Middle Country Road, Suite 210, Lake Grove, NY 11755

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