Healthcare Provider Details

I. General information

NPI: 1114396595
Provider Name (Legal Business Name): METRO RADIOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2015
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 W MERRICK RD
VALLEY STREAM NY
11580-5532
US

IV. Provider business mailing address

234 W MERRICK RD
VALLEY STREAM NY
11580-5532
US

V. Phone/Fax

Practice location:
  • Phone: 516-341-7227
  • Fax: 516-341-7229
Mailing address:
  • Phone: 516-341-7227
  • Fax: 516-341-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY YOON
Title or Position: PRESIDENT
Credential: MD
Phone: 516-341-7227