Main Street Radiology At Bayside Llc

LBN: Main Street Radiology At Bayside Llc
Main Street Radiology At Bayside Llc is an health care organization with primary practice located at 3225 Francis Lewis Blvd , Flushing NY 11358-1922. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Main Street Radiology At Bayside Llc can be contacted via phone (718) 428-1500, or through Jonisch, Ari via phone (718) 428-1500.

Contact Information

Primary practice address
3225 Francis Lewis Blvd Flushing NY 11358-1922
Phone: (718) 428-1500
Fax: (718) 428-2475
Website:
Map and Directions
Authorized official contact:
Name: Jonisch, Ari Doctor of Medicine (MD)
Phone: (718) 428-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1780771634
LBN Legal business name Main Street Radiology At Bayside Llc
DBA Doing business as
Authorized official Jonisch, Ari Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Nov 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780771634 NPPES
New York MEDICAID 02217256

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