OrganizationCommunity Radiology Service, PcRadiologyAllopathic & Osteopathic PhysiciansPractice Address227 Franklin Ave, Hewlett, NY 11557-1902(516) 295-5500(718) 544-3066PECOS EnrollmentBased on the most recent information from CMS, provider Community Radiology Service, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:57 PM.Profile DetailsProvider ID1871188995Provider TypeOrganizationFull NameCommunity Radiology Service, PcSubpartNoEnumeration Date3/2/2021Last Updated3/2/2021Contact InformationPractice LocationPractice Address227 Franklin Ave, Hewlett, NY 11557-1902Phone(516) 295-5500Fax(516) 569-8225Mailing LocationMailing Address11302 Queens Blvd, Forest Hills, NY 11375-6468Phone(718) 544-3066Fax(516) 977-2874Authorized OfficialNameBolger, Linda M (Director Of Managed Care)Phone(516) 495-7129Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer