Radiologic Health Services Mri Of Smithtown Pc

LBN: Radiologic Health Services Mri Of Smithtown Pc
Radiologic Health Services Mri Of Smithtown Pc is an health care organization with primary practice located at 80 Maple Ave , Smithtown NY 11787. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiologic Health Services Mri Of Smithtown Pc can be contacted via phone (631) 265-5777, or through Glenn, Edward H via phone (631) 265-5777.

Contact Information

Primary practice address
80 Maple Ave Smithtown NY 11787
Fax: (631) 265-5797
Website:
Authorized official contact:
Name: Glenn, Edward H Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1619908100
LBN Legal business name Radiologic Health Services Mri Of Smithtown Pc
DBA Doing business as
Authorized official Glenn, Edward H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 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 1619908100 NPPES
New York MEDICAID 02213674

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