Radiology Associates Of Main Street Pc

LBN: Radiology Of Main Street Pc
Radiology Associates Of Main Street Pc is an health care organization with primary practice located at 5645 Main St , Flushing NY 11355-5045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiology Of Main Street Pc can be contacted via phone (718) 670-1050, or through Jonisch, Ari via phone (718) 428-1500.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Fax: (718) 670-1901
Website:
Authorized official contact:
Name: Jonisch, Ari Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1265529101
LBN Legal business name Radiology Of Main Street Pc
DBA Doing business as Radiology Associates Of Main Street Pc
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 1265529101 NPPES
New York MEDICAID 01791762

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