OrganizationAll Island Diagnostic Medical PcSpecialistOther Service ProvidersPractice Address1069 Main St, Suite 334, Holbrook, NY 11741-1618(212) 255-2333PECOS EnrollmentBased on the most recent information from CMS, provider All Island Diagnostic Medical 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 yesterday at 12:04 PM.Profile DetailsProvider ID1720383334Provider TypeOrganizationFull NameAll Island Diagnostic Medical PcSubpartNoEnumeration Date1/13/2011Last Updated1/13/2011Contact InformationPractice LocationPractice Address1069 Main St, Suite 334, Holbrook, NY 11741-1618Phone(212) 255-2333Fax(212) 255-2455Mailing LocationMailing Address1069 Main Street, Suite 334, Holbrook, NY 11741Phone(212) 255-2333Fax(212) 255-2333Authorized OfficialNameCarlson, James (Doctor)Phone(212) 255-2333Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense204062New York