Marine Park Radiology Pc

LBN: Marine Park Radiology Pc
Marine Park Radiology Pc is an health care organization with primary practice located at 2270 Kimball St Suite 102, Brooklyn NY 11234-5139. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Cardiology is the primary health care specialty. Marine Park Radiology Pc can be contacted via phone (718) 253-6616, or through Ibarra, John via phone (718) 253-6616.

Contact Information

Primary practice address
2270 Kimball St Suite 102 Brooklyn NY 11234-5139
Phone: (718) 253-6616
Fax: (718) 407-1140
Website:
Map and Directions
Authorized official contact:
Name: Ibarra, John Doctor of Medicine (MD)
Phone: (718) 253-6616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1053362699
LBN Legal business name Marine Park Radiology Pc
DBA Doing business as
Authorized official Ibarra, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1053362699 NPPES
New York MEDICAID 02358643

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