Organization
BAB NUCLEAR RADIOLOGY, PC
Active
Organization
BAB NUCLEAR RADIOLOGY, PC
Active
Other names
BAB Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BONHEIM MD (SR. PARTNER/RADIOLOGIST)
(631) 517-8006
Entity
Organization
Contact information
Practice address
CVS PLAZA, 355 BROADWAY, AMITYVILLE, NY 11701
(631) 229-3100
(631) 789-2452
Mailing address
300 JERICHO QUADRANGLE, SUITE 320, JERICHO, NY 11753-2704
(516) 874-8108
(516) 320-8952
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02558836
—
NY
01
—
CJ8322
RAILROAD MEDICARE
NY
Enumeration date
06/15/2006
Last updated
03/13/2015
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