Healthcare Provider Details

I. General information

NPI: 1427024199
Provider Name (Legal Business Name): COMPREHENSIVE MRI OF NEW YORK, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 VETERANS MEMORIAL HIGHWAY
ISLANDIA NY
11749-1553
US

IV. Provider business mailing address

110 MARCUS DRIVE
MELVILLE NY
11747-4228
US

V. Phone/Fax

Practice location:
  • Phone: 631-348-0996
  • Fax: 631-348-0997
Mailing address:
  • Phone: 631-390-1793
  • Fax: 631-390-1780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT J DIAMOND
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: M.D.
Phone: 631-694-2929