MEDICARE: RADIOLOGY SERVICES OF NEW YORK, PC

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
1	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1740353838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY SERVICES OF NEW YORK, PC

Provider Business Mailing Address
First Line	:	PO BOX 606
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-0727
Country	:	US
Telephone Number	:	856-234-5304
Fax Number	:	856-234-5426

Provider Business Practice Location Address
First Line	:	1946 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3520
Country	:	US
Telephone Number	:	718-420-2220
Fax Number	:	718-420-3602

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ANN CANINO
Credential	:
Telephone Number	:	718-420-2220

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1508174673 — DR. JILL CONLON PT, MHS, DPT
Practice Location Address:

73 WOODVALE AVE
STATEN ISLAND, NY
10309-3520

Practice Phone: 718-356-7842
Practice Fax:

1538132618 — DR. RALEIGH PHILLIPS D.C.
Practice Location Address:

19 SHELTER COVE LN , SUITE 106
HILTON HEAD ISLAND, SC
29928-3520

Practice Phone: 843-686-2225
Practice Fax: 843-686-6103

1831317387 — MRS. PATRICIA ANNE THRASHER MED
Practice Location Address:

19 SHELTER COVE LN , SUITE 204
HILTON HEAD ISLAND, SC
29928-3520

Practice Phone: 843-341-9369
Practice Fax: 843-341-9331

1417180613 — DR. CHADWICK JENNINGS GOLDEN DMD
Practice Location Address:

19 SHELTER COVE LN , SUITE#104 AT WATERSEDGE
HILTON HEAD ISLAND, SC
29928-3520

Practice Phone: 843-842-2500
Practice Fax: 842-686-3444

1285001560 — KELLY L NICHOLSON, PSYD
Practice Location Address:

19 SHELTER COVE LN
HILTON HEAD ISLAND, SC
29928-3520

Practice Phone: 843-226-6690
Practice Fax:

1891520623 — BRIEA MARIE ROMANO MSWLP
Practice Location Address:

1765 SOUTH AVE
STATEN ISLAND, NY
10314-3604

Practice Phone: 718-761-9800
Practice Fax:

Directions to “RADIOLOGY SERVICES OF NEW YORK, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.