MEDICARE: HIGHWAY IMAGING ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CL0568	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245217298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHWAY IMAGING ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 18005
Second Line	:
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788-8805
Country	:	US
Telephone Number	:	631-517-8000
Fax Number	:	631-893-1923

Provider Business Practice Location Address
First Line	:	2095 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4338
Country	:	US
Telephone Number	:	718-338-6868
Fax Number	:	718-252-3650

Authorized Official
Title or Position	:	SENIOR PARTNER
Name	:	DR. ALAN BERLLY
Credential	:	MD
Telephone Number	:	718-338-6868

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	04/07/2015

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Directions to “HIGHWAY IMAGING ASSOCIATES ” Practice Location

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