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Organization

INNERVISIONSONOGRAPHY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE MINIX RCS (DIRECTOR OF OPERATIONS)
(917) 569-0027
Entity
Organization

Contact information

Practice address
4064 BRUNER AVE, BRONX, NY 10466-2229
(917) 569-0027
Mailing address
4064 BRUNER AVE, BRONX, NY 10466-2229
(917) 569-0027

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
00072877
NY
2471S1302X
Sonography Radiologic Technologist
NY
2471V0105X
Vascular Sonography Radiologic Technologist
NY

Other

Enumeration date
03/24/2011
Last updated
04/11/2011
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