Organization
GLEN COVE RADIOLOGIC IMAGING LLC
Active
Organization
GLEN COVE RADIOLOGIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BONHEIM MD (MD, OWNER)
(631) 269-0888
Entity
Organization
Contact information
Practice address
1825 RIVERSIDE DR APT 1B, NEW YORK, NY 10034-5308
(631) 269-0888
Mailing address
PO BOX 1391, COMMACK, NY 11725-0930
(631) 269-0888
(631) 326-0286
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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