Organization
BROOKLYN 83RD ST MEDICAL
Active
Other names
Canarsie Radiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H SOLOWAY MD (MEDICAL DIRECTOR)
(718) 531-2500
Entity
Organization
Contact information
Practice address
763 E 83RD ST, BROOKLYN, NY 11236
(718) 531-2500
(718) 531-2552
Mailing address
657-659 BROADWAY, BAYONNE, NJ 07002
(201) 437-3007
(201) 437-4070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01566581
—
NY
Enumeration date
08/01/2006
Last updated
08/22/2020
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