Healthcare Provider Details

I. General information

NPI: 1902000755
Provider Name (Legal Business Name): NUCLEAR CARDIAC AND MEDICAL IMAGING SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E 61ST ST
NEW YORK NY
10065-8529
US

IV. Provider business mailing address

PO BOX 13126
HAUPPAUGE NY
11788-0561
US

V. Phone/Fax

Practice location:
  • Phone: 212-644-0002
  • Fax:
Mailing address:
  • Phone: 631-231-0300
  • Fax: 631-231-3331

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 Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EMMANUEL VARKARIS
Title or Position: MEDICAL DIRECTOR OWNER
Credential: MD
Phone: 631-231-0300