Organization
M.G.K.S.C.Z. MAGNETIC RESONANCE IMAGING P.C.
Active
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
Update your record
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