Healthcare Provider Details

I. General information

NPI: 1770885071
Provider Name (Legal Business Name): SHARP VIEW DIAGNOSTIC IMAGING,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 AVENUE U
BROOKLYN NY
11229-4917
US

IV. Provider business mailing address

P.O.BOX 0736
BROOKLYN NY
11229
US

V. Phone/Fax

Practice location:
  • Phone: 718-676-2530
  • Fax: 718-676-2529
Mailing address:
  • Phone: 718-676-2530
  • Fax: 718-676-2529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number255796
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number255796
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number255796
License Number StateNY

VIII. Authorized Official

Name: DR. LEONID LEMPERT
Title or Position: RADIOLOGIST
Credential: M.D.
Phone: 718-676-2530