Organization
RADIOLOGY SERVICES OF NEW YORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CANINO (ADMINISTRATOR)
(718) 420-2220
Entity
Organization
Contact information
Practice address
1946 VICTORY BLVD, STATEN ISLAND, NY 10314-3520
(718) 420-2220
(718) 420-3602
Mailing address
PO BOX 606, MOORESTOWN, NJ 08057-0727
(856) 234-5304
(856) 234-5426
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691647
—
NY
Enumeration date
11/16/2006
Last updated
08/22/2020
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