Organization · NPI-2

Andresito B. Pacis MD P.C

Radiology, Diagnostic Radiology · Bronx, NY

NPI number1306074091
StatusActive
Last updated in NPPESJul 1, 2009

Details

NPI
1306074091
Entity type
Organization (NPI-2)
Legal business name
Andresito B. Pacis MD P.C
Organization subpart
No
Enumeration date
Jul 1, 2009
Last updated
Jul 1, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes
2085U0001X Radiology, Diagnostic Ultrasound––

Practice location

3130 Grand Concourse Suite 1p
Andresito B. Pacis MD P.C Attn Mosholu Park Radiology
Bronx, NY 10458

Phone 718-933-6969 · Fax 718-933-6970

Mailing address

3130 Grand Concourse Suite 1p
Attn Mosholu Park Radiology
Bronx, NY 10458

Phone 718-933-6969 · Fax 718-933-6970

Authorized official

Andresito B Pacis
President
7189336969

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