Regional Imaging & Therapeutic Radiology Services PC
Radiology, Diagnostic Radiology in Staten Island, NY. Organization (NPI-2).
NPI number1023095445
StatusActive
Last updated in NPPESApr 21, 2011
Details
- NPI
- 1023095445
- Entity type
- Organization (NPI-2)
- Legal business name
- Regional Imaging & Therapeutic Radiology Services PC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2005
- Last updated
- Apr 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
| 207U00000X | Nuclear Medicine | – | – | |
| 2085R0001X | – | – |
Other names
- Regional Radiology (Doing Business As)
Practice location
360 Bard AveStaten Island, NY 10310-1666
Phone 718-876-2000 · Fax 718-876-2006
Mailing address
360 Bard AveStaten Island, NY 10310-1666
Phone 718-876-2000 · Fax 718-876-2006
Authorized official
Matthew J Stern
President
7188762000
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