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Organization

EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.

Active
Parent organization
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.
Other names
Union Square Diagnostic Imaging
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.
Authorized official
KEVIN MATH MD (MEDICAL DIRECTOR)
(201) 830-3122
Entity
Organization

Contact information

Practice address
144 4TH AVE LOWR LEVEL, NEW YORK, NY 10003-4901
(212) 473-2300
(212) 473-4780
Mailing address
PO BOX 10270, UNIONDALE, NY 11555-0270
(201) 830-3122
(201) 200-0838

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03234833
NY
Enumeration date
05/17/2006
Last updated
02/11/2013
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