Healthcare Provider Details

I. General information

NPI: 1235485459
Provider Name (Legal Business Name): SAGA IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2012
Last Update Date: 07/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 E 74 ST MEZZANINE
NEW YORK NY
10021-3235
US

IV. Provider business mailing address

130 E 77 ST. FL 5
NEW YORK NY
10075-1851
US

V. Phone/Fax

Practice location:
  • Phone: 212-737-3301
  • Fax: 212-734-0407
Mailing address:
  • Phone: 212-737-3301
  • Fax: 212-734-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN J NICHOLAS
Title or Position: MEMBER
Credential: MD
Phone: 212-737-3301