Organization
GOETHALS RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALOM BUCHBINDER MD (PRESIDENT)
(718) 226-9175
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9175
(718) 876-3462
Mailing address
PO BOX 4652, WARREN, NJ 07059-0652
(718) 226-9175
(718) 876-3462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6050006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02597262
—
NY
01
—
2318846
UHC
—
01
—
3217156
AETNA
—
01
—
3C3756
HEALTHNET
—
01
—
4105246
GHI
—
01
—
WTE361
EMPIRE BC/BS
—
Enumeration date
10/25/2005
Last updated
08/22/2020
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