Organization
NYDIC OPEN MRI OF AMERICA-MANHATTAN, LLC
Active
Other names
Nydic-Manhattan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (PRESIDENT/CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
100 PARAGON DR, SUITE 200, MONTVALE, NJ 07645-1718
(201) 573-8080
(201) 775-4306
Mailing address
1725 YORK AVE, NEW YORK, NY 10128-7807
(212) 348-3900
(212) 348-3828
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4100608
GHI GROUP PROVIDER NO.
NY
01
—
4154853
CIGNA PPO GROUP PROV NO
NY
01
—
592
OXFORD-NYMI PROVIDER NO.
NY
01
—
ANC736
OXFORD GROUP PROVIDER NO.
NY
01
—
WR6941
EMPIRE HEALTHCHOICE GROUP
NY
01
—
XC1282
HEALTHNET GROUP PROV NO
NY
Enumeration date
05/25/2006
Last updated
08/22/2020
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