Organization
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.
Active
Organization
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MATH MD (MEDICAL DIRECTOR)
(201) 830-3122
Entity
Organization
Contact information
Practice address
424 E 89TH ST, NEW YORK, NY 10128-6703
(212) 410-5100
(212) 410-2500
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
—
03235201
—
NY
01
—
1425155
UNITED HEALTHCARE
NY
01
—
189300
WELLCARE
NY
01
—
4199993
GHI
NY
01
—
4C8838
HEALTHNET
NY
01
—
5481603
AETNA US HEALTHCARE
NY
01
—
5516341
FIRSTHEALTH
NY
01
—
959
CARECORE NATIONAL
NY
01
—
A3184823
OXFORD HEALTH PLAN
NY
01
—
C51294
AMERIHEALTH
NY
01
—
CD5054
PALMETTO GBA
NY
01
—
NY419
ONE CALL MEDICAL
NY
01
—
S23958
AMERICAN IMAGING MGNT
NY
01
—
W1L822
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
05/17/2006
Last updated
02/11/2013
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