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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