Healthcare Provider Details

I. General information

NPI: 1841374592
Provider Name (Legal Business Name): GUN HILL MRI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E GUN HILL RD GUN HILL MRI
BRONX NY
10467-2159
US

IV. Provider business mailing address

100 CORPORATE DR MMC- CMO
YONKERS NY
10701-6807
US

V. Phone/Fax

Practice location:
  • Phone: 718-798-5449
  • Fax:
Mailing address:
  • Phone: 914-378-6021
  • Fax: 914-709-0386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL G. DOWLING
Title or Position: DIR. OF PROV. SVCS & NTWK. CONTRACT
Credential:
Phone: 914-377-4668