Organization
EAST MANHATTAN DIAGNOSTIC IMAGING, PC
Active
Other names
Grand Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MATH MD (MEDICAL DIRECTOR)
(201) 830-3200
Entity
Organization
Contact information
Practice address
132 BOWERY STREET, NEW YORK, NY 10013
(212) 925-9788
Mailing address
10 EXCHANGE PLACE, JERSEY CITY, NJ 07302
(201) 830-3200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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