Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IAN RALPH WHITESIDE, M.D.
ActiveDR. IAN RALPH WHITESIDE, M.D. is a Body Imaging healthcare provider located in PORT JEFFERSON, New York. NPI 1437560430 is currently active in the NPPES registry. Verify at CMS.
Body Imaging · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1437560430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2014 (12.072690058008 yrs)
- Last Updated
- Jul 24, 2021
- Licenses
-
303407 (NY)303407 (NY)
Practice Information
- Address
-
200 BELLE TERRE RDPORT JEFFERSON, NY, 117771968Browse NY providers · Browse ZIP 11777
- Phone
- 6314746000
- Primary Specialty
-
Body Imaging
2085B0100X
- Additional Specialty
- Body Imaging
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.