# SCINTILLA IMAGING INC

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

## Provider details

- **NPI number:** 1396913356
- **Authorized official:** ROBERT NEKRICH M.D (DOTOR)
- **Authorized official phone:** (347) 249-0768

## Contact information

- **Practice address:** 49 02 QUEENS BLVD, WOODSIDE, NY 11377
- **Practice address phone:** (347) 249-0768
- **Mailing address:** 88 60 62ND DRIVE, REGO PARK, NY 11374
- **Mailing address phone:** (347) 247-0768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 02/13/2008