Healthcare Provider Details

I. General information

NPI: 1003644113
Provider Name (Legal Business Name): MANHATTAN DIAGNOSTIC PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E 31ST ST
NEW YORK NY
10016-6878
US

IV. Provider business mailing address

116 E 31ST ST
NEW YORK NY
10016-6878
US

V. Phone/Fax

Practice location:
  • Phone: 212-404-8070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ORYAN BARUCH
Title or Position: OWNER
Credential:
Phone: 516-732-9511