Organization
MEDSPECT NUCLEAR IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICKEY FELDMAN MBA (MEDICAL ADMINISTRATOR)
(718) 833-1300
Entity
Organization
Contact information
Practice address
9920 4TH AVE STE 209, BROOKLYN, NY 11209-8330
(718) 833-1300
(718) 833-4852
Mailing address
9920 4TH AVE STE 209, BROOKLYN, NY 11209-8330
(718) 833-1300
(718) 833-4852
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00278639
—
NY
Enumeration date
10/25/2006
Last updated
09/11/2025
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