Imaging Subspecialist Of New York
Radiology, Diagnostic Neuroimaging in Middletown, NY. Organization (NPI-2).
NPI number1124655352
StatusActive
Last updated in NPPESMar 26, 2020
Details
- NPI
- 1124655352
- Entity type
- Organization (NPI-2)
- Legal business name
- Imaging Subspecialist Of New York
- Organization subpart
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Mar 26, 2020
- Last updated
- Mar 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085D0003X | Radiology, Diagnostic Neuroimaging | – | – | Yes |
Practice location
110 Crystal Run RdMiddletown, NY 10941-4040
Phone 845-673-6446
Mailing address
285 River RdNyack, NY 10960-5001
Phone 646-407-2044
Authorized official
Vincent Graziano
President
6464072044
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