Organization
PET-CT DIAGNOSTIC MEDICAL IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC PRAGER MD (MEDICAL DIRECTOR)
(718) 931-2300
Entity
Organization
Contact information
Practice address
1200 WATERS PL, SUITE M108, BRONX, NY 10461-2728
(718) 931-2300
Mailing address
1200 WATERS PL, SUITE M108, BRONX, NY 10461-2728
(718) 931-2300
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
07/14/2008
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