Organization · NPI-2
Third Avenue Open Mri
Clinic/Center, Radiology · Bronx, NY
NPI number1972924017
StatusActive
Last updated in NPPESDec 16, 2013
Details
- NPI
- 1972924017
- Entity type
- Organization (NPI-2)
- Legal business name
- Third Avenue Open Mri
- Organization subpart
- No
- Enumeration date
- Dec 16, 2013
- Last updated
- Dec 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 246X00000X | Spec/Tech, Cardiovascular | – | – |
Practice location
2781 3rd AveBronx, NY 10455-4002
Phone 718-860-6000
Mailing address
2781 3rd AveBronx, NY 10455-4002
Phone 718-402-0300
Authorized official
Kenny Gleicher
Owner
7188606000
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