Organization
WILLIAMSBURG MEDICAL IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A. CARR MD (DIAGNOSTIC RADIOLOGIST)
(718) 947-2570
Entity
Organization
Contact information
Practice address
762 BEDFORD AVENUE, BROOKLYN, NY 11205-1508
(718) 947-2570
(718) 947-2571
Mailing address
762 BEDFORD AVENUE, BROOKLYN, NY 11205-1508
(718) 947-2570
(718) 947-2571
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02840944
—
NY
01
—
A100054722
MEDICARE PTAN
NY
Enumeration date
07/26/2006
Last updated
04/20/2015
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