North Fork Radiology Pc

LBN: North Fork Radiology Pc
North Fork Radiology Pc is an health care organization with primary practice located at 1333 Roanoke Ave , Riverhead NY 11901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. North Fork Radiology Pc can be contacted via phone (631) 727-2755, or through Vandyne, Martin via phone (631) 727-2755.

Contact Information

Primary practice address
1333 Roanoke Ave Riverhead NY 11901
Phone: (631) 727-2755
Fax: (631) 208-9521
Website:
Map and Directions
Authorized official contact:
Name: Vandyne, Martin Doctor of Medicine (MD)
Phone: (631) 727-2755

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1891703872
LBN Legal business name North Fork Radiology Pc
DBA Doing business as
Authorized official Vandyne, Martin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated May 16th, 2008 - about 16 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 1891703872 NPPES
New York MEDICAID 00930429
New York Other W11401
New York Other CF3402

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