Healthcare Provider Details

I. General information

NPI: 1851580963
Provider Name (Legal Business Name): OCEANVIEW IMAGING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9920 4TH AVE SUITE 209
BROOKLYN NY
11209-8333
US

IV. Provider business mailing address

9485 SW 72ND ST SUITE A150
MIAMI FL
33173-3242
US

V. Phone/Fax

Practice location:
  • Phone: 718-833-1300
  • Fax:
Mailing address:
  • Phone: 305-275-6069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN E. CIANCIULLI
Title or Position: PRESIDENT
Credential:
Phone: 305-275-6069