Organization
PORT RADIOLOGY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J GLENN MD (PRESIDENT)
(631) 351-2000
Entity
Organization
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01675658
—
NY
Enumeration date
08/12/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us