Organization
WEST SIDE RADIOLOGY ASSOCIATES, PC
Active
Other names
Columus Circle Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TAMBURRINO (VP OF OPERATIONS)
(212) 590-2900
Entity
Organization
Contact information
Practice address
1790 BROADWAY, LOWER LEVEL, NEW YORK, NY 10019-1412
(212) 977-4100
(212) 977-4271
Mailing address
10 EXCHANGE PL, 14TH FLOOR-WSBS, JERSEY CITY, NJ 07302-3918
(201) 830-3122
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00418960
—
NY
Enumeration date
01/05/2007
Last updated
11/16/2016
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