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NPI Code Detail

MEDICARE: NEW YORK RADIOLOGY ASSOCIATES

MEDICARE: NEW YORK RADIOLOGY ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician
22085N0904XNuclear Radiology Physician
32085P0229XPediatric Radiology Physician
42085R0202XDiagnostic Radiology Physician
52085R0205XRadiological Physics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083762652
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK RADIOLOGY ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 95000-2429
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19195-2429
Country : US
Telephone Number : 201-830-3122
Fax Number : 201-200-0838
Provider Business Practice Location Address
First Line : 3201 KINGS HWY
Second Line : DEPT OF RADIOLOGY
City : BROOKLYN
State : NY
Zip : 11234-2625
Country : US
Telephone Number : 718-951-2930
Fax Number :
Authorized Official
Title or Position : CHAIRMAN
Name : MICHAEL ABIRI
Credential : MD
Telephone Number : 201-830-3122
Provider Enumeration Date : 01/08/2007
Last Update Date : 12/28/2007

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Directions to “NEW YORK RADIOLOGY ASSOCIATES ” Practice Location

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