Organization
BRONX PARK RADIOLOGY ASST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE F GADE MD (PRESIDENT)
(718) 960-6486
Entity
Organization
Contact information
Practice address
2016 BRONXDALE AVE, SUITE 102, BRONX, NY 10462-3388
(718) 960-9033
(718) 823-5131
Mailing address
PO BOX 631, PORT WASHINGTON, NY 11050-0631
(516) 767-1755
(516) 767-1951
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00668740
—
NY
Enumeration date
07/22/2006
Last updated
08/22/2020
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