Mosholu Park Radiology Pc

LBN: Mosholu Park Radiology Pc
Mosholu Park Radiology Pc is an health care organization with primary practice located at Mosholu Park Radiology Pc 3130 Grand Concourse Ste 1P, Bronx NY 10458. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is the primary health care specialty. Mosholu Park Radiology Pc can be contacted via phone (718) 933-6969, or through Pacis, Andresito B via phone (718) 933-6969.

Contact Information

Primary practice address
Mosholu Park Radiology Pc 3130 Grand Concourse Ste 1P Bronx NY 10458
Phone: (718) 933-6969
Fax: (718) 933-6970
Website:
Map and Directions
Authorized official contact:
Name: Pacis, Andresito B Doctor of Medicine (MD)
Phone: (718) 933-6969

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 1252131 New York
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 1252131 New York
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 1252131 New York

Profile Details

NPI number 1710996509
LBN Legal business name Mosholu Park Radiology Pc
DBA Doing business as Mosholu Park Radiology Pc
Authorized official Pacis, Andresito B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 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 1710996509 NPPES
New York MEDICAID 00234428

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