Organization
BAB NUCLEAR RADIOLOGY, PC
Active
Other names
BAB Radiology Shirley
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BONHEIM MD (SENIOR PARTNER)
(631) 517-8006
Entity
Organization
Contact information
Practice address
1500 WILLIAM FLOYD PKWY, SHIRLEY, NY 11967-1800
(631) 205-0800
(631) 205-5588
Mailing address
PO BOX 18005, HAUPPAUGE, NY 11788-8805
(631) 517-8000
(631) 893-1923
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02558836
—
NY
01
—
CJ87322
RAILROAD MEDICARE
NY
Enumeration date
12/30/2005
Last updated
02/29/2008
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