Organization
REGIONAL IMAGING & THERAPEUTIC RADIOLOGY SERVICES PC
Active
Organization
REGIONAL IMAGING & THERAPEUTIC RADIOLOGY SERVICES PC
Active
Other names
Regional Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J STERN M.D. (PRESIDENT)
(718) 876-2000
Entity
Organization
Contact information
Practice address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Mailing address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01127802
—
NY
Enumeration date
12/28/2005
Last updated
04/21/2011
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