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NPI Code Detail

MEDICARE: HEALTHCARE RADIOLOGY AND DIAGNOSTIC SYSTEMS PLLC

MEDICARE: HEALTHCARE RADIOLOGY AND DIAGNOSTIC SYSTEMS PLLC
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
12085R0202XDiagnostic Radiology PhysicianNY

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 : 1508864570
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE RADIOLOGY AND DIAGNOSTIC SYSTEMS PLLC
Provider Business Mailing Address
First Line : 244 WESTCHESTER AVE
Second Line : STE 103
City : WHITE PLAINS
State : NY
Zip : 10604-2907
Country : US
Telephone Number : 914-872-2502
Fax Number : 914-872-2470
Provider Business Practice Location Address
First Line : 600 E 233RD ST
Second Line :
City : BRONX
State : NY
Zip : 10466-2604
Country : US
Telephone Number : 718-920-0100
Fax Number : 718-920-1549
Authorized Official
Title or Position : DIRECTOR
Name : PAUL T KHOURY
Credential :
Telephone Number : 914-681-1219
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/21/2022

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Directions to “HEALTHCARE RADIOLOGY AND DIAGNOSTIC SYSTEMS PLLC ” Practice Location

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