Shore Road Radiology Associates, Pc
LBN: Shore Road Radiology Associates, Pc
Shore Road Radiology Associates, Pc is an health care organization with primary practice located at 150 55Th St , Brooklyn NY 11220-2559. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Shore Road Radiology Associates, Pc can be contacted via phone (718) 630-7477, or through Dellacerra, Gary via phone (718) 630-7103.
Contact Information
Primary practice address
150 55Th St
Brooklyn NY 11220-2559
Phone: (718) 630-7477
Fax: (718) 630-7437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 16820 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 16820 | New York |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 16820 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 16820 | New York |
Profile Details
| NPI number | 1811903578 |
|---|---|
| LBN Legal business name | Shore Road Radiology Associates, Pc |
| DBA Doing business as | |
| Authorized official | Dellacerra, Gary V.P. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Sep 8th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811903578 | NPPES |
| New York | MEDICAID | 00809412 |
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