Healthcare Provider Details

I. General information

NPI: 1255594990
Provider Name (Legal Business Name): NARROWS MRI AND DIAGNOSTIC RADIOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 OCEAN AVE
BROOKLYN NY
11230-6801
US

IV. Provider business mailing address

9920 4TH AVE
BROOKLYN NY
11209-8333
US

V. Phone/Fax

Practice location:
  • Phone: 718-921-0333
  • Fax: 718-921-0490
Mailing address:
  • Phone: 718-921-0333
  • Fax: 718-921-0490

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 Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW WINAKOR
Title or Position: DIRECTOR, MANAGED CARE
Credential:
Phone: 516-616-5000