Healthcare Provider Details

I. General information

NPI: 1720209489
Provider Name (Legal Business Name): ALPHA IMAGING CONSULTANTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 12/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E 32ND ST
NEW YORK NY
10016-6055
US

IV. Provider business mailing address

145 E 32ND ST
NEW YORK NY
10016-6055
US

V. Phone/Fax

Practice location:
  • Phone: 212-868-9210
  • Fax: 212-868-9213
Mailing address:
  • Phone: 212-868-9210
  • Fax: 212-868-9213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KARL L HUSSMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 212-868-9210