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 codeDescriptionLicenseStatePrimary
261QR0200X Clinic/Center, Radiology––Yes
246X00000X Spec/Tech, Cardiovascular––

Practice location

2781 3rd Ave
Bronx, NY 10455-4002

Phone 718-860-6000

Mailing address

2781 3rd Ave
Bronx, NY 10455-4002

Phone 718-402-0300

Authorized official

Kenny Gleicher
Owner
7188606000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Radiology providers in Bronx, NY