Organization
CENTERLIGHT DIAGNOSTIC AND TREATMENT CENTER, INC.
Active
Other names
DTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ROSEN (VP OF FINANCE)
(347) 640-6050
Entity
Organization
Contact information
Practice address
1250 WATERS PL, TOWER 1 SUITE 602, BRONX, NY 10461-2720
(347) 640-6050
Mailing address
1250 WATERS PL, TOWER 1 SUITE 602, BRONX, NY 10461-2720
(347) 640-6050
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353222
—
NY
Enumeration date
05/02/2007
Last updated
03/09/2012
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