Professional Radiology Pc in Port Jefferson - Diagnostic Radiology
Professional Radiology Pc - NPI 1619989464
Professional Radiology Pc is a Diagnostic Radiology in Port Jefferson, New York. Professional Radiology Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Professional Radiology Pc is 1619989464. The last update date is 2020-08-22.
Professional Radiology Pc's current location address is 75 North Country Road, Port Jefferson, New York. You can contact this provider via phone number 6314762757 and fax number 6314730132. The mailing address for Professional Radiology Pc is 75 North Country Road, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Radiology Pc |
|---|---|
| Address | 75 North Country Road, Port Jefferson, New York |
| Phone Number | 6314762757 |
| Fax Number | 6314730132 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Glenn H Edward |
| Credentials | MD |
| Telephone Number | 6314762757 |
NPI Number Detail
| NPI Number | 1619989464 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 75 North Country Road |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 11777 |
| Phone Number | 6314762757 |
| Fax Number | 6314730132 |
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 |
|---|---|---|---|
| 820911 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Professional Radiology Pc?
The Professional Radiology Pc has been issued the NPI (National Provider Identifier) 1619989464 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 Professional Radiology Pc?
The Professional Radiology Pc is physically situated at 75 North Country Road, in the city of Port Jefferson, state of NY, with the postal code 11777.
What is Professional Radiology Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Professional Radiology Pc is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date was the 1619989464 assigned to Professional Radiology Pc?
The Professional Radiology Pc was issued its 1619989464 on 2006-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Professional Radiology Pc's information last updated?
The Professional Radiology Pc's information was last updated on 2020-08-22.