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Organization

DARIUS MELISARATOS, MD, RADIOLOGY, PLLC

Active
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Organization

DARIUS MELISARATOS, MD, RADIOLOGY, PLLC

Active
Other names
Precision Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
DARIUS P MELISARATOS M.D. (OWNER)
(516) 874-8151
Entity
Organization

Contact information

Practice address
345 SEAVIEW AVE, STATEN ISLAND, NY 10305-2244
(718) 980-4888
(718) 980-4873
Mailing address
345 SEAVIEW AVE, STATEN ISLAND, NY 10305-2244
(718) 980-4888
(718) 980-4873

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040386
MEDICARE PTAN
NY
01
180428
NY LICENSE REGISTRATION
NY
01
A400132968
MEDICARE REASSIGNED PTAN
NY
Enumeration date
04/10/2015
Last updated
01/19/2016
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