# INNERVISIONSONOGRAPHY INC.

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

## Provider details

- **NPI number:** 1376842633
- **Authorized official:** MR. GEORGE MINIX RCS (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (917) 569-0027

## Contact information

- **Practice address:** 4064 BRUNER AVE, BRONX, NY 10466-2229
- **Practice address phone:** (917) 569-0027
- **Mailing address:** 4064 BRUNER AVE, BRONX, NY 10466-2229
- **Mailing address phone:** (917) 569-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | 00072877 | NY | Yes |
| 2471S1302X | Sonography Radiologic Technologist | — | NY | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NY | — |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 04/11/2011