Organization
COMMUNITY RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES M. PICCINNINI (ADMINISTRATIVE DIRECTOR)
(732) 598-3310
Entity
Organization
Contact information
Practice address
849 57TH ST, SUITE B, BROOKLYN, NY 11220-3617
(732) 598-3310
Mailing address
849 57TH ST, SUITE B, BROOKLYN, NY 11220-3617
(732) 598-3310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
152868-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02714469
—
NY
Enumeration date
01/27/2012
Last updated
01/27/2012
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