Organization
THIRD AVENUE OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY GLEICHER (OWNER)
(718) 860-6000
Entity
Organization
Contact information
Practice address
2781 3RD AVE, BRONX, NY 10455-4002
(718) 860-6000
Mailing address
2781 3RD AVE, BRONX, NY 10455-4002
(718) 402-0300
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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