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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