Innovative Mr Imaging, Pc

NPI 1265635015 - Radiology - 2085R0202X

NPI Details
NPI 1265635015
Enumeration Date 06/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN BRIAN
Position ADMINISTRATOR
Phone (718) 815-2002
Fax (718) 815-3003
Practice Location
5000 BROADWAY
NEW YORK NY, 10034-1602, US
Phone (718) 815-2002
Fax (718) 815-3003
Business Location
PO BOX 30271
STATEN ISLAND NY, 10303-0271, US
Phone (718) 815-2002
Fax (718) 815-3003
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
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According to our database, Innovative Mr Imaging, Pc NPI is 1265635015, taxonomy code is 2085R0202X Innovative Mr Imaging, Pc physically located at 5000 Broadway, New York NY, 10034-1602. NPI Number 1033115704 has the healthcare provider type.

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1265635015 NPI number is provided on an as is basis without warranty of any kind. 1265635015 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Mr Imaging, Pc are for informational purposes only.