Healthcare Provider Details

I. General information

NPI: 1245267699
Provider Name (Legal Business Name): OMEGA DIAGNOSTIC IMAGING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 VOORHIES AVE
BROOKLYN NY
11235-3961
US

IV. Provider business mailing address

PO BOX 29922
NEW YORK NY
10087-9922
US

V. Phone/Fax

Practice location:
  • Phone: 718-332-1999
  • Fax: 718-332-4192
Mailing address:
  • Phone: 718-332-1999
  • Fax: 718-332-4192

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 Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAROLD S. PARNES
Title or Position: OWNER
Credential: M.D.
Phone: 718-332-1999