Organization
AVIVA MEDICAL IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SCOTT SCHEPP MD (OWNER)
(718) 862-3760
Entity
Organization
Contact information
Practice address
2055 WILLIAMSBRIDGE RD, BRONX, NY 10461-1606
(718) 862-3760
(718) 824-3113
Mailing address
2055 WILLIAMSBRIDGE RD, BRONX, NY 10461-1606
(718) 862-3760
(718) 824-3113
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
146636-6
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01086855
—
NY
Enumeration date
06/05/2007
Last updated
08/22/2020
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