# PET-CT DIAGNOSTIC MEDICAL IMAGING PC

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

## Provider details

- **NPI number:** 1649291790
- **Authorized official:** MARC PRAGER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 931-2300

## Contact information

- **Practice address:** 1200 WATERS PL, SUITE M108, BRONX, NY 10461-2728
- **Practice address phone:** (718) 931-2300
- **Mailing address:** 1200 WATERS PL, SUITE M108, BRONX, NY 10461-2728
- **Mailing address phone:** (718) 931-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | Yes |
| 2085N0904X | Nuclear Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 07/14/2008