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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