Organization
SLR DIAGNOSTIC RADIOLOGY, P.C.
Active
Parent organization
SLR DIAGNOSTIC RADIOLOGY, P.C.
Other names
Phillips Ambulatory Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SLR DIAGNOSTIC RADIOLOGY, P.C.
Authorized official
JEANNE BAER M.D. (MEDICAL DIRECTOR)
(201) 830-3122
Entity
Organization
Contact information
Practice address
10 UNION SQ E, DEPT OF RADIOLOGY, SUITE 3P, NEW YORK, NY 10003-3314
(212) 844-8880
Mailing address
10 EXCHANGE PL, 14TH FLOOR WSBS, JERSEY CITY, NJ 07302-3918
(201) 830-3122
(201) 200-0838
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
NY
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
NY
2085N0700X
Neuroradiology Physician
—
NY
2085N0904X
Nuclear Radiology Physician
—
NY
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
2085R0204X
Vascular & Interventional Radiology Physician
—
NY
2085R0205X
Radiological Physics Physician
—
NY
2085U0001X
Diagnostic Ultrasound Physician
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01002042
—
NY
Enumeration date
05/12/2008
Last updated
05/12/2008
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