# PARK PLACE MEDICAL IMAGING P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265794853
- **Authorized official:** DR. LISA A CORRENTE M.D. (MANAGER)
- **Authorized official phone:** (212) 380-2075

## Contact information

- **Practice address:** 316 E 30TH ST, NEW YORK, NY 10016-8366
- **Practice address phone:** (212) 380-2075
- **Practice address fax:** (212) 380-2076
- **Mailing address:** 101 W 24TH ST, APT 28H, NEW YORK, NY 10011-1909
- **Mailing address phone:** (212) 380-2075
- **Mailing address fax:** (212) 380-2076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2012
- **Last updated:** 02/29/2016