Marine Park Radiology Pc in Brooklyn - Diagnostic Radiology
Marine Park Radiology Pc - NPI 1053362699
Marine Park Radiology Pc is a Diagnostic Radiology in Brooklyn, New York. Marine Park Radiology Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Marine Park Radiology Pc is 1053362699. The last update date is 2020-08-22.
Marine Park Radiology Pc's current location address is 2270 Kimball St, Brooklyn, New York. You can contact this provider via phone number 7182536616 and fax number 7184071140. The mailing address for Marine Park Radiology Pc is 2270 Kimball St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marine Park Radiology Pc |
|---|---|
| Address | 2270 Kimball St, Brooklyn, New York |
| Phone Number | 7182536616 |
| Fax Number | 7184071140 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Ibarra John |
| Credentials | M.D. |
| Telephone Number | 7182536616 |
NPI Number Detail
| NPI Number | 1053362699 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2270 Kimball St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112345139 |
| Phone Number | 7182536616 |
| Fax Number | 7184071140 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2358643 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marine Park Radiology Pc?
The Marine Park Radiology Pc has been issued the NPI (National Provider Identifier) 1053362699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marine Park Radiology Pc?
The Marine Park Radiology Pc is physically situated at 2270 Kimball St, in the city of Brooklyn, state of NY, with the postal code 112345139.
What is the Marine Park Radiology Pc's specialty and taxonomy code?
The Marine Park Radiology Pc's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Marine Park Radiology Pc receive its 1053362699 assignment from the Centers for Medicare & Medicaid Services?
The Marine Park Radiology Pc was assigned its 1053362699 by the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date were the details related to Marine Park Radiology Pc most recently updated or revised?
The information pertaining to Marine Park Radiology Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.