Healthcare Provider Details

I. General information

NPI: 1457281719
Provider Name (Legal Business Name): SMART CHOICE IMAGE OF NY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 AVENUE X STE 1
BROOKLYN NY
11223-5940
US

IV. Provider business mailing address

252 AVENUE X STE 1
BROOKLYN NY
11223-5940
US

V. Phone/Fax

Practice location:
  • Phone: 347-462-9157
  • Fax:
Mailing address:
  • Phone: 347-462-9157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: LOLA JACOBS
Title or Position: OWNER
Credential:
Phone: 347-462-9157