Organization
PARK PLACE MEDICAL IMAGING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A CORRENTE M.D. (MANAGER)
(212) 380-2075
Entity
Organization
Contact information
Practice address
316 E 30TH ST, NEW YORK, NY 10016-8366
(212) 380-2075
(212) 380-2076
Mailing address
101 W 24TH ST, APT 28H, NEW YORK, NY 10011-1909
(212) 380-2075
(212) 380-2076
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
02/29/2016
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