Organization
SLR DIAGNOSTIC RADIOLOGY, P.C.
Active
Parent organization
SLR DIAGNOSTIC RADIOLOGY, P.C.
Other names
St. Luke's-Roosevelt Hospital Center, Dept of Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SLR DIAGNOSTIC RADIOLOGY, P.C.
Authorized official
JEANNE BAER MD (PRESIDENT)
(201) 830-3122
Entity
Organization
Contact information
Practice address
1111 AMSTERDAM AVE, DEPT OF RADIOLOGY, NEW YORK, NY 10025-1716
(201) 830-3122
(201) 200-0838
Mailing address
PO BOX 10269, UNIONDALE, NY 11555-0269
(201) 830-3122
(201) 200-0838
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01002042
—
NY
Enumeration date
07/06/2006
Last updated
02/11/2013
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