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:
Map and Directions
Authorized official contact:
Name: Dellacerra, Gary V.P.
Phone: (718) 630-7103

Health care specialties

SpecialtyCodeLicense #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 18 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 1811903578 NPPES
New York MEDICAID 00809412

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