Organization
ROCKLAND NUCLEAR SPECT IMAGING, PC
Active
Other names
Newburgh Cardiovascular Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MAYER (VP MANAGED CARE & CREDENTIALING)
(631) 952-5717
Entity
Organization
Contact information
Practice address
310 FULLERTON AVE, NEWBURGH, NY 12550-3724
(845) 565-9086
(845) 565-9872
Mailing address
PO BOX 13125, HAUPPAUGE, NY 11788-0560
(845) 565-9086
(845) 565-9872
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082942
—
NY
Enumeration date
11/13/2006
Last updated
08/22/2020
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