Organization
WYCKOFF IMAGING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY FISCHBEIN (CHAIRMAN OF RADIOLOGY DEPARTMENT)
(718) 907-4970
Entity
Organization
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7373
(718) 907-4939
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02496582
—
NY
Enumeration date
07/05/2006
Last updated
05/28/2015
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