MEDICARE: NEW IMAGING & DIAGNOSTIC SERVICES, P.C.

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	247100000X	Radiologic Technologist
2	2471C3401X	Computed Tomography Radiologic Technologist
3	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist
4	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	120775	NY
5	261QR0200X	Radiology Clinic/Center	102775	NY

General Provider Information

NPI Number	:	1316123086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW IMAGING & DIAGNOSTIC SERVICES, P.C.

Provider Business Mailing Address
First Line	:	10119 39TH AVE
Second Line	:	SUITE 101
City	:	CORONA
State	:	NY
Zip	:	11368-4806
Country	:	US
Telephone Number	:	718-644-8081
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 JOHNSON AVE
Second Line	:	11 K
City	:	BRONX
State	:	NY
Zip	:	10463-6464
Country	:	US
Telephone Number	:	718-644-8081
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HELEN T MOREHOUSE
Credential	:	M.D.
Telephone Number	:	718-644-8081

Provider Enumeration Date	:	01/12/2008
Last Update Date	:	01/26/2016

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