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Organization

BAY RIDGE MEDICAL IMAGING, PC

Active
Parent organization
BAY RIDGE MEDICAL IMAGING, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAY RIDGE MEDICAL IMAGING, PC
Authorized official
DR. ABIRI SHAHROKH M.D. (PRESIDENT)
(718) 238-7000
Entity
Organization

Contact information

Practice address
1220 AVENUE P, BROOKLYN, NY 11229-1009
(718) 375-1300
(718) 238-7005
Mailing address
7601 4TH AVE, BROOKLYN, NY 11209-3207
(718) 238-7000
(718) 238-7005

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
207UN0901X
Nuclear Cardiology Physician
207UN0902X
Nuclear Imaging & Therapy Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02390045
NY
Enumeration date
09/03/2009
Last updated
09/03/2009
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