Organization
AMERICAN OPEN MRI, PC
Active
Other names
SHIRISH THANAWALA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADIE SAMAROO (OFFICE MANAGER)
(718) 263-2208
Entity
Organization
Contact information
Practice address
11120 QUEENS BLVD, FOREST HILLS, NY 11375-6341
(718) 263-2208
(718) 263-3442
Mailing address
11120 QUEENS BLVD, FOREST HILLS, NY 11375-6341
(718) 263-2208
(718) 263-3442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562809
—
NY
Enumeration date
01/16/2009
Last updated
01/23/2009
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