Organization
BROOKLYN DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M ROSENTHAL MD (OWNER)
(917) 406-5740
Entity
Organization
Contact information
Practice address
2525 KINGS HWY, BROOKLYN, NY 11229-1705
(718) 704-4580
(718) 692-8527
Mailing address
2525 KINGS HWY, BROOKLYN, NY 11229-1705
(718) 692-5392
(718) 692-8527
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02458340
—
NY
Enumeration date
09/26/2006
Last updated
03/29/2021
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