Organization
UNIVERSITY DIAGNOSTIC MEDICAL IMAGING,PC
Active
Organization
UNIVERSITY DIAGNOSTIC MEDICAL IMAGING,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC PRAGER MD (MEDICAL DIRECTOR)
(718) 931-7080
Entity
Organization
Contact information
Practice address
1200 WATERS PL, SUITE M-108, BRONX, NY 10461-2728
(718) 931-5620
(718) 824-0706
Mailing address
1200 WATERS PL, SUITE M-108, BRONX, NY 10461-2728
(718) 931-5620
(718) 824-0706
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
91-3255-01
NY
2085R0202X
Diagnostic Radiology Physician
Primary
H90 1185210 83 NY
NY
2085R0203X
Therapeutic Radiology Physician
91-3255-01
NY
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
07/11/2006
Last updated
08/03/2020
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