# THIRD AVENUE OPEN MRI

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

## Provider details

- **NPI number:** 1972924017
- **Authorized official:** KENNY GLEICHER (OWNER)
- **Authorized official phone:** (718) 860-6000

## Contact information

- **Practice address:** 2781 3RD AVE, BRONX, NY 10455-4002
- **Practice address phone:** (718) 860-6000
- **Mailing address:** 2781 3RD AVE, BRONX, NY 10455-4002
- **Mailing address phone:** (718) 402-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246X00000X | Cardiovascular Specialist/Technologist | — | NULL | — |
| 246X00000X | Cardiovascular Specialist/Technologist | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2013
- **Last updated:** 12/16/2013