Organization
PARK AVENUE RADIOLOGISTS, P.C.
Active
Organization
PARK AVENUE RADIOLOGISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC E. LIEBESKIND M.D. (PRESIDENT)
(212) 888-1000
Entity
Organization
Contact information
Practice address
525 PARK AVE, NEW YORK, NY 10021-8141
(212) 888-1000
Mailing address
PO BOX 7087, ORANGE, CA 92863-7087
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03269909
—
NY
01
—
803200W21771
EMPIRE BLUECROSS BLUESHIE
NY
01
—
CA3469
RAILROAD MEDICARE
—
Enumeration date
08/17/2005
Last updated
10/23/2013
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