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Organization
MRI ASSOCIATES OF QUEENS, PC
Active
Organization
MRI ASSOCIATES OF QUEENS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKI BUBANY (MANAGING DIRECTOR)
(718) 544-7994
Entity
Organization
Contact information
Practice address
9237 METROPOLITAN AVE, FOREST HILLS, NY 11375-6623
(718) 544-7994
Mailing address
9237 METROPOLITAN AVE, FOREST HILLS, NY 11375-6623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
147975-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000424112069
HEALTH PLUS
NY
01
—
0068664
GHI
NY
05
—
02888351
—
NY
01
—
106985300
US DEPT OF LABOR
NY
01
—
108878
NYC HOUSING AUTHORITY
NY
01
—
1479757
WC
NY
01
—
171931
ELDERPLAN
NY
01
—
1920243
CIGNA
NY
01
—
ANC038
OXFORD CARECORE
NY
01
—
W94551
BCBS
NY
Enumeration date
02/02/2007
Last updated
11/26/2008
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