Organization
SOTA MRI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S WAGNER MD (PRESIDENT)
(917) 685-7969
Entity
Organization
Contact information
Practice address
2647 CONEY ISLAND AVE, BROOKLYN, NY 11223-5502
(718) 676-7676
(347) 587-3459
Mailing address
2647 CONEY ISLAND AVE, BROOKLYN, NY 11223-5502
(718) 676-7676
(347) 587-3459
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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