Healthcare Provider Details

I. General information

NPI: 1750542890
Provider Name (Legal Business Name): ADVANCED ULTRASOUND IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 OLD NYACK TPKE
SPRING VALLEY NY
10977-5741
US

IV. Provider business mailing address

256 OLD NYACK TURNPIKE
SPRING VALLEY NY
10977
US

V. Phone/Fax

Practice location:
  • Phone: 845-426-3701
  • Fax:
Mailing address:
  • Phone: 845-426-3701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. RONNY HYMAN
Title or Position: PRESIDENT
Credential:
Phone: 845-426-3701