Organization
RADIOLOGY SERVICES OF NEW YORK PC
Active
Organization
RADIOLOGY SERVICES OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASAN YASHARPOUR MD (MEDICAL DIRECTOR)
(718) 979-0100
Entity
Organization
Contact information
Practice address
2777 HYLAN BLVD, STATEN ISLAND, NY 10306-4660
(718) 979-0100
(718) 979-3602
Mailing address
2777 HYLAN BLVD, STATEN ISLAND, NY 10306-4660
(718) 979-0100
(718) 979-3602
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M98117385878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691647
—
NY
Enumeration date
03/03/2006
Last updated
09/21/2023
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