Atlantic Avenue Radiology PC
Radiology, Diagnostic Radiology in Brooklyn, NY. Organization (NPI-2).
NPI number1104100940
StatusActive
Last updated in NPPESSep 30, 2011
Details
- NPI
- 1104100940
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Avenue Radiology PC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2011
- Last updated
- Sep 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
| 2085B0100X | Radiology, Body Imaging | – | – | |
| 2085D0003X | Radiology, Diagnostic Neuroimaging | – | – | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | – | – | |
| 2085N0700X | – | – | ||
| 2085N0904X | – | – | ||
| 2085P0229X | Radiology, Pediatric Radiology | – | – | |
| 2085R0203X | Radiology, Therapeutic Radiology | – | – | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – |
Practice location
1545 Atlantic AveInterfaith Medical Center
Brooklyn, NY 11213-1122
Phone 718-613-4405 · Fax 718-613-4989
Mailing address
1545 Atlantic AveInterfaith Medical Center
Brooklyn, NY 11213-1122
Phone 718-613-4405 · Fax 718-613-4989
Authorized official
Vandana A Chokshi
President
7186134405
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