Organization
EMPIRE MEDICAL GROUP OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TIMOTHY BURNS (MANAGER)
(212) 818-1555
Entity
Organization
Contact information
Practice address
113-02 QUEENS BLVD, FOREST HILLS, NY 11375
(718) 544-3066
(718) 544-3125
Mailing address
800 LANIDEX PLAZA, SUITE 210, PARSIPPANY, NJ 07054
(718) 544-3066
(718) 544-3125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07407
GHI MEDICARE PROVIDER ID
NY
Enumeration date
08/30/2006
Last updated
11/04/2015
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