Organization
LENOX HILL RADIOLOGY & MEDICAL IMAGING ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CRUES (MEDICAL DIRECTOR)
(212) 772-3111
Entity
Organization
Contact information
Practice address
61 E 77TH ST, NEW YORK, NY 10021-1817
(212) 772-3111
Mailing address
61 E 77TH ST, NEW YORK, NY 10021-1817
(212) 772-3111
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03369660
—
NY
01
—
G100291973
MEDICARE
—
Enumeration date
06/03/2006
Last updated
03/11/2021
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