Organization
UNION SQUARE RADIOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE LEE M.D. (MEDICAL DIRECTOR)
(212) 674-0444
Entity
Organization
Contact information
Practice address
247 3RD AVE, SUITE 201, NEW YORK, NY 10010-7457
(212) 674-0444
Mailing address
200 PARK AVE S, SUITE 1103, NEW YORK, NY 10003-1503
(212) 674-0444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
277403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922106
—
NJ
Enumeration date
04/04/2016
Last updated
10/26/2016
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