Organization
CARITAS RADIOLOGY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE CAMPBELL (DIRECTOR)
(717) 625-1338
Entity
Organization
Contact information
Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-1283
Mailing address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-1283
(718) 558-1878
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02872553
—
NY
Enumeration date
12/12/2006
Last updated
09/18/2008
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