Organization
ONSITE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLETTA CHOSTAK (OWNER)
(718) 612-9292
Entity
Organization
Contact information
Practice address
33 VULCAN ST, STATEN ISLAND, NY 10305-3517
(718) 612-9292
(201) 484-8485
Mailing address
33 VULCAN ST, STATEN ISLAND, NY 10305-3517
(718) 612-9292
(201) 484-8485
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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