# BIMC FACULTY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BIMC FACULTY PRACTICE at PACC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568665818
- **Authorized official:** MICHAEL ABIRI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 590-5922

## Contact information

- **Practice address:** 10 UNION SQ E, SUITE 3P, NEW YORK, NY 10003-3314
- **Practice address phone:** (212) 590-2922
- **Practice address fax:** (212) 590-2977
- **Mailing address:** 1780 BROADWAY, STE 300, NEW YORK, NY 10019-1414
- **Mailing address phone:** (212) 590-2922
- **Mailing address fax:** (212) 590-2977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 08/20/2007