Organization
RADIOLOGY OF NEW YORK P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEKS GOLO (ADMINISTRATOR)
(718) 848-0606
Entity
Organization
Contact information
Practice address
9705 101ST AVE, OZONE PARK, NY 11416-2523
(718) 848-0606
Mailing address
9705 101ST AVE, OZONE PARK, NY 11416-2523
(718) 848-0606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
25MA03219200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02692666
—
NY
Enumeration date
11/25/2005
Last updated
10/24/2007
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