Organization
NYDIC OPEN MRI OF AMERICA-WESTCHESTER, L.L.C.
Active
Other names
Nydic-Westchester
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (PRESIDENT/CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
4 WESTBROOK CORPORATE CTR, TOWER 4, SUITE 40, WESTCHESTER, IL 60154-5752
(708) 836-1050
(708) 836-1060
Mailing address
100 PARAGON DR, SUITE 200, MONTVALE, NJ 07645-1779
(201) 573-8080
(201) 775-4306
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621906
BCBS OF ILLINOIS
IL
01
—
2204858
AETNA US HEALTHCARE
IL
01
—
5251666
AETNA US HEALTHCARE
IL
01
—
5626535002
CIGNA HEALTHCARE
IL
Enumeration date
06/20/2006
Last updated
08/22/2020
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