Healthcare Provider Details

I. General information

NPI: 1578072385
Provider Name (Legal Business Name): ALLIED HEALTHCARE DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 60TH STREET SUITE A
WEST NEW YORK NJ
07093
US

IV. Provider business mailing address

560 60TH ST STE A
WEST NEW YORK NJ
07093-1329
US

V. Phone/Fax

Practice location:
  • Phone: 201-415-6921
  • Fax:
Mailing address:
  • Phone: 201-415-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: UZMA ZIRVI
Title or Position: BILLING MANAGER
Credential:
Phone: 201-415-6921