# THIRD AVENUE IMAGING LLC

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

## Provider details

- **NPI number:** 1619416229
- **Authorized official:** MR. JOEL REISMAN (OWNER)
- **Authorized official phone:** (718) 742-0700

## Contact information

- **Practice address:** 2781 3RD AVE, BRONX, NY 10455-4002
- **Practice address phone:** (718) 742-0700
- **Mailing address:** 2781 3RD AVE, BRONX, NY 10455-4002
- **Mailing address phone:** (718) 742-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 161093 | NY | Yes |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 02/15/2017