Organization
HIA BENSONHURST IMAGING ASSOCIATES, LLP
Active
Other names
HIA Bensonhurst Imaging Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BERLLY MD (SENIOR PARTNER)
(718) 836-3322
Entity
Organization
Contact information
Practice address
7610 13TH AVE, BROOKLYN, NY 11228-2412
(718) 836-3322
(718) 921-2830
Mailing address
PO BOX 18005, HAUPPAUGE, NY 11788-8805
(631) 517-8000
(631) 893-1923
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903915
—
NY
Enumeration date
12/29/2005
Last updated
09/14/2007
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