Organization
M.G.K.S.C.Z. MAGNETIC RESONANCE IMAGING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BROSNAN (DIRECTOR OF OPERATIONS)
(212) 518-2901
Entity
Organization
Contact information
Practice address
165 E 84TH ST, NEW YORK, NY 10028-2049
(212) 535-9770
(212) 427-5273
Mailing address
165 E 84TH ST, NEW YORK, NY 10028-2049
(212) 535-9770
(212) 427-5273
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W13651
MEDICARE GROUP NUMBER
NY
Enumeration date
09/14/2007
Last updated
06/27/2008
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