Healthcare Provider Details

I. General information

NPI: 1023348877
Provider Name (Legal Business Name): ARCADIA IMAGING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 3RD AVE SUITE 1A
BRONX NY
10451-4607
US

IV. Provider business mailing address

3055 3RD AVE SUITE 1A
BRONX NY
10451-4607
US

V. Phone/Fax

Practice location:
  • Phone: 718-743-7090
  • Fax:
Mailing address:
  • Phone: 718-743-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number168512
License Number StateNY

VIII. Authorized Official

Name: MARK RICHARD ARMSTRONG
Title or Position: PRESIDENT
Credential: MD
Phone: 718-743-7090